Provider Demographics
NPI:1821390725
Name:FLOWERS-BROWN, LELA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LELA
Middle Name:
Last Name:FLOWERS-BROWN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 POINTE LOOP
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-2255
Mailing Address - Country:US
Mailing Address - Phone:210-478-9782
Mailing Address - Fax:
Practice Address - Street 1:19315 FM 2252
Practice Address - Street 2:SUITE 138
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266-2516
Practice Address - Country:US
Practice Address - Phone:210-478-9782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-27
Last Update Date:2010-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64875101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional