Doctor Name: | MRS. KATHRYN GAY FLOOD |
NPI Number: | 1609119601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 8118 |
Business Practice Address: | 466 Lancaster Woods Dr Supply, NC - 284623466 |
Business Phone Number: | 9108800865 |
Business Fax Number: | |
Mailing Address: | 466 Lancaster Woods Dr, SUPPLY |
State: | NC |
Postal Code: | 284623466 |
Phone Number: | 9108800865 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2013 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |