Provider Demographics
NPI:1851063838
Name:FLOYD, LISA (LMHCA)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 E 38TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-2622
Mailing Address - Country:US
Mailing Address - Phone:317-455-5642
Mailing Address - Fax:
Practice Address - Street 1:447 E 38TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2622
Practice Address - Country:US
Practice Address - Phone:317-455-5642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor