Provider Demographics
NPI:1245014000
Name:FLIPPIN CREWS, KIANA
Entity type:Individual
Prefix:MS
First Name:KIANA
Middle Name:
Last Name:FLIPPIN CREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9201 ARBORETUM PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-5403
Mailing Address - Country:US
Mailing Address - Phone:804-322-7188
Mailing Address - Fax:
Practice Address - Street 1:9201 ARBORETUM PKWY STE 150
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-5403
Practice Address - Country:US
Practice Address - Phone:804-322-7188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health