Provider Demographics
NPI:1821871500
Name:FLAWSOME COUNSELING LLC
Entity Type:Organization
Organization Name:FLAWSOME COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-526-5860
Mailing Address - Street 1:2575 N ANKENY BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4710
Mailing Address - Country:US
Mailing Address - Phone:515-526-5860
Mailing Address - Fax:
Practice Address - Street 1:2575 N ANKENY BLVD STE 203
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4710
Practice Address - Country:US
Practice Address - Phone:515-526-5860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty