Steven R. Floyd, LCPC

Individual provider Active NPI Professional Counselor · Morton, IL

NPI 1265757264 · NPPES record last updated Apr 1, 2010

Key facts

NPI
1265757264
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180-000804 (IL)
Practice address
75 E Queenwood Rd
Morton, IL 61550-2985
Phone
(309) 263-5565
Fax
(309) 263-9336
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180-000804ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-000804 IL Yes

Addresses

Primary practice location

75 E Queenwood Rd
Morton, IL 61550-2985

Mailing address

75 E Queenwood Rd
Morton, IL 61550-2985
Phone (309) 263-5565

Other providers in Morton, IL

All providers in Morton, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.