Provider Demographics
NPI:1275680688
Name:FLORES, BARBARA JEAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JEAN
Last Name:FLORES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 N LOOP 336 W
Mailing Address - Street 2:#330
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1193
Mailing Address - Country:US
Mailing Address - Phone:936-760-4325
Mailing Address - Fax:
Practice Address - Street 1:1110 N LOOP 336 W STE 330
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1197
Practice Address - Country:US
Practice Address - Phone:936-760-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTDHS 09330101YM0800X
TX09330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health