Provider Demographics
NPI:1952683351
Name:FLOYD, HOLLIS HAMILTON (LAMFT)
Entity Type:Individual
Prefix:MS
First Name:HOLLIS
Middle Name:HAMILTON
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 SILVER DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-2157
Mailing Address - Country:US
Mailing Address - Phone:706-453-2301
Mailing Address - Fax:
Practice Address - Street 1:1040 SILVER DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-2157
Practice Address - Country:US
Practice Address - Phone:706-453-2301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAMFT000528106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA390200000XOther390200000X - STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM