Provider Demographics
NPI:1568079606
Name:FLOWERS, KEYSHIA T (RSW)
Entity Type:Individual
Prefix:
First Name:KEYSHIA
Middle Name:T
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 POSEY ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-3860
Mailing Address - Country:US
Mailing Address - Phone:409-300-1016
Mailing Address - Fax:
Practice Address - Street 1:839 POSEY ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-3860
Practice Address - Country:US
Practice Address - Phone:409-300-1016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator