Provider Demographics
NPI:1437550605
Name:FLOWERS, RAVAE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:RAVAE
Middle Name:
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9408 CABILDO LN
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-3702
Mailing Address - Country:US
Mailing Address - Phone:504-452-7669
Mailing Address - Fax:
Practice Address - Street 1:9408 CABILDO LN
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-3702
Practice Address - Country:US
Practice Address - Phone:504-452-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA008506932104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker