Provider Demographics
NPI:1265164826
Name:FLOWERS, BECKY ANNE (RCSWI)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:ANNE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 4TH ST. N, PMB 334
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBERG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-2322
Mailing Address - Country:US
Mailing Address - Phone:305-519-0729
Mailing Address - Fax:
Practice Address - Street 1:2837 1ST AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8603
Practice Address - Country:US
Practice Address - Phone:305-519-0729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW157321041C0700X
FLSW215461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical