Organization
FLOYD PSYCHOTHERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA FLOYD LCSW (OWNER/PSYCHOTHERAPIST)
(318) 805-7662
Entity
Organization
Contact information
Practice address
110 N FRANKLIN ST, BASTROP, LA 71220-3816
(318) 805-7662
Mailing address
PO BOX 111, BASTROP, LA 71221-0111
(318) 805-7662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11165
LA
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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