| Jaley Floyd, LCAC | |
|
815 Short St, Charlestown, IN 47111-1241 | |
| (812) 972-1857 | |
| Not Available |
| Full Name | Jaley Floyd |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 815 Short St, Charlestown, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609508134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001657A (Indiana) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaley Floyd, LCAC 815 Short St, Charlestown, IN 47111-1241 Ph: () - | Jaley Floyd, LCAC 815 Short St, Charlestown, IN 47111-1241 Ph: (812) 972-1857 |
Miss Jennifer Nicole Duvall, MSSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 Fax: 812-256-4415 | |
Bobbi Willis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 | |
Brittney Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 | |
Krystia Dodge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 | |
Cassandra Smith, MS, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4686 | |
Lene Benoit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-256-4128 | |
Monica Lynne Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Charlestown Pike, Charlestown, IN 47111 Phone: 812-406-0377 |