Provider Demographics
NPI:1861864795
Name:FLOWERS-AIME, RUBY (NCC, LAPC)
Entity Type:Individual
Prefix:MRS
First Name:RUBY
Middle Name:
Last Name:FLOWERS-AIME
Suffix:
Gender:F
Credentials:NCC, LAPC
Other - Prefix:MRS
Other - First Name:RUBY
Other - Middle Name:ELIZABETH
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4064 OLDE GLEN CV
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4288
Mailing Address - Country:US
Mailing Address - Phone:404-644-9717
Mailing Address - Fax:
Practice Address - Street 1:111 PETROL PT STE B6
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1560
Practice Address - Country:US
Practice Address - Phone:678-329-2793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC005091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health