Individual
FLOYD CHRISTOPHER KIRKSEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
(225) 926-9708
Mailing address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18356
LA
104100000X
Social Worker
Primary
18356
LA
171M00000X
Case Manager/Care Coordinator
18356
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255681128
—
LA
Enumeration date
07/16/2019
Last updated
03/20/2024
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