Kathy Roden Floyd Ma Lpc Pllc | |
3605 Ne Loop 286 Ste 300 Paris TX 75460-5041 | |
(903) 785-7758 | |
Not Available |
Full Name | Kathy Roden Floyd Ma Lpc Pllc |
---|---|
Speciality | Counselor |
Location | 3605 Ne Loop 286 Ste 300, Paris, Texas |
Authorized Official Name and Position | Kathy R Floyd (OWNER PROVIDER) |
Authorized Official Contact | 9037857410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kathy Roden Floyd Ma Lpc Pllc 3605 Ne Loop 286 Ste 300 Paris TX 75460-5041 Ph: (903) 785-7758 | Kathy Roden Floyd Ma Lpc Pllc 3605 Ne Loop 286 Ste 300 Paris TX 75460-5041 Ph: (903) 785-7758 |
NPI Number | 1609645654 |
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Provider Enumeration Date | 01/01/2024 |
Last Update Date | 01/01/2024 |
Certification Date | 12/30/2023 |
Medicare PECOS PAC ID | 1850743238 |
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Medicare Enrollment ID | O20240122002350 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609645654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Kathy Roden Floyd |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093994766 PECOS PAC ID: 2769834142 Enrollment ID: I20240216001874 |
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