Provider Demographics
NPI:1023164373
Name:FLOYD, GLORIA JEAN (LMFT)
Entity type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:JEAN
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:JEAN
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:7760 N FRESNO ST
Mailing Address - Street 2:#103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2411
Mailing Address - Country:US
Mailing Address - Phone:559-432-2054
Mailing Address - Fax:559-435-3710
Practice Address - Street 1:7760 N FRESNO ST
Practice Address - Street 2:#103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2411
Practice Address - Country:US
Practice Address - Phone:559-432-2054
Practice Address - Fax:559-435-3710
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health