Provider Demographics
NPI:1891552782
Name:SUNFLOWER HEALTH
Entity Type:Organization
Organization Name:SUNFLOWER HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BHT
Authorized Official - Prefix:
Authorized Official - First Name:KANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-440-0834
Mailing Address - Street 1:5409 S 7TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-3941
Mailing Address - Country:US
Mailing Address - Phone:480-440-0834
Mailing Address - Fax:
Practice Address - Street 1:2502 E UNIVERSITY DR STE 240
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-6956
Practice Address - Country:US
Practice Address - Phone:602-429-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty