Provider Demographics
NPI:1679932719
Name:YOUMANS, FLOYD (AS, CASAC, DHA III)
Entity type:Individual
Prefix:
First Name:FLOYD
Middle Name:
Last Name:YOUMANS
Suffix:
Gender:M
Credentials:AS, CASAC, DHA III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 CENTRAL AVE
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-1229
Mailing Address - Country:US
Mailing Address - Phone:347-822-0481
Mailing Address - Fax:718-452-1894
Practice Address - Street 1:580 CENTRAL AVE
Practice Address - Street 2:SUITE 2D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-1229
Practice Address - Country:US
Practice Address - Phone:347-822-0481
Practice Address - Fax:718-452-1894
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2016-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30917101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)