Provider Demographics
NPI:1952627341
Name:FLOWERS, ALEXIS LYNN (LPN, MSW)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LYNN
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LPN, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 N LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-1207
Mailing Address - Country:US
Mailing Address - Phone:269-689-9104
Mailing Address - Fax:
Practice Address - Street 1:205 N LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-1540
Practice Address - Country:US
Practice Address - Phone:269-689-9104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-11
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN27063933A164W00000X
MI4703099833164W00000X
MI68011135541041C0700X
MI68011053701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No164W00000XNursing Service ProvidersLicensed Practical Nurse