Provider Demographics
NPI:1932753670
Name:FLOYD, ASHLEY ANN (LMFT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6808 UNIVERSITY AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-2779
Mailing Address - Country:US
Mailing Address - Phone:608-291-6336
Mailing Address - Fax:
Practice Address - Street 1:6808 UNIVERSITY AVE STE 108
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-2779
Practice Address - Country:US
Practice Address - Phone:608-291-6336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006883106H00000X
WI2113-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist