Provider Demographics
NPI:1801134432
Name:FLOYD, RACHELE L (PSYD)
Entity type:Individual
Prefix:DR
First Name:RACHELE
Middle Name:L
Last Name:FLOYD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 NW EXPRESSWAY STE 300
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5400
Mailing Address - Country:US
Mailing Address - Phone:405-445-0005
Mailing Address - Fax:
Practice Address - Street 1:3030 NW EXPRESSWAY STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-5466
Practice Address - Country:US
Practice Address - Phone:405-445-0005
Practice Address - Fax:405-842-0079
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1003103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731042545001OtherTRICARE
OK73-1042545OtherCOMMUNITY CARE
OK73-1042545OtherBLUE CROSS, BLUE SHIELD
OK200480010AMedicaid
73-1042545OtherGROUP MEDICARE