Provider Demographics
NPI:1891829784
Name:FLOYD, MARKISHA A (MSW)
Entity Type:Individual
Prefix:
First Name:MARKISHA
Middle Name:A
Last Name:FLOYD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 DELLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-1612
Mailing Address - Country:US
Mailing Address - Phone:501-350-3839
Mailing Address - Fax:
Practice Address - Street 1:201W SECOND ST
Practice Address - Street 2:
Practice Address - City:LONOKE
Practice Address - State:AR
Practice Address - Zip Code:72086
Practice Address - Country:US
Practice Address - Phone:501-676-3151
Practice Address - Fax:501-676-3152
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2079M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker