Provider Demographics
NPI:1851850259
Name:FLOYD, STEVEN ROMELL JR (LPC LMHP)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ROMELL
Last Name:FLOYD
Suffix:JR
Gender:M
Credentials:LPC LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-2308
Mailing Address - Country:US
Mailing Address - Phone:804-225-9144
Mailing Address - Fax:804-225-9145
Practice Address - Street 1:1500 BROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-2308
Practice Address - Country:US
Practice Address - Phone:804-225-9144
Practice Address - Fax:804-225-9145
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008060101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA542012609Medicaid