Provider Demographics
NPI:1952821761
Name:FLORY, EMILY DAWN (MA, LPC, CAADC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:DAWN
Last Name:FLORY
Suffix:
Gender:F
Credentials:MA, LPC, CAADC
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:DAWN
Other - Last Name:GRIFFES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, CAADC
Mailing Address - Street 1:1534 DARLINGTON TRL
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-3721
Mailing Address - Country:US
Mailing Address - Phone:517-930-0937
Mailing Address - Fax:
Practice Address - Street 1:615 E CROSSTOWN PKWY
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001
Practice Address - Country:US
Practice Address - Phone:269-553-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016151101Y00000X
MI6401017610101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor