Provider Demographics
NPI:1467882241
Name:FLOWERS, TIFFANY DENISE (LMHC)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:DENISE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1073 ROCKFORD RD SW
Mailing Address - Street 2:E
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-1868
Mailing Address - Country:US
Mailing Address - Phone:319-230-4139
Mailing Address - Fax:
Practice Address - Street 1:1073 ROCKFORD RD SW
Practice Address - Street 2:E
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-1868
Practice Address - Country:US
Practice Address - Phone:319-230-4139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001597101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health