Floyd, Destinee

Floyd, Destinee is an individual health care provider with primary practice located at 7707 Canford St #H, Camby IN 46113-8291. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Floyd, Destinee can be contacted via phone (863) 860-1621.

Contact Information

Primary practice address
7707 Canford St #H Camby IN 46113-8291
Phone: (863) 860-1621
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / School 101YS0200X 34006609A Indiana

Profile Details

NPI number 1811222714
LBN Legal business name Floyd, Destinee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2009
Last updated Jul 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811222714 NPPES
Indiana MEDICAID 100270530A

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