Provider Demographics
NPI:1518574375
Name:SUNFLOWER COUNSELING, LLC
Entity Type:Organization
Organization Name:SUNFLOWER COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANDRICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-333-8008
Mailing Address - Street 1:14241 COURSEY BLVD STE A-12
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-1368
Mailing Address - Country:US
Mailing Address - Phone:225-333-8008
Mailing Address - Fax:224-416-4068
Practice Address - Street 1:12090 S HARRELLS FERRY RD STE A6
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2470
Practice Address - Country:US
Practice Address - Phone:225-324-1767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty