Doctor Name: | AVERY K FLORY |
NPI Number: | 1023288024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 0701004265 |
Business Practice Address: | 1625 Franklin St Rocky Mount, VA - 241516390 |
Business Phone Number: | 5404839082 |
Business Fax Number: | |
Mailing Address: | 1625 Franklin St, ROCKY MOUNT |
State: | VA |
Postal Code: | 241516390 |
Phone Number: | 5404839082 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 01/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701004265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |