Provider Demographics
NPI:1700107331
Name:ANAWAD COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:ANAWAD COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-421-2712
Mailing Address - Street 1:22740 LAWNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-2539
Mailing Address - Country:US
Mailing Address - Phone:708-421-2712
Mailing Address - Fax:773-776-1124
Practice Address - Street 1:22740 LAWNDALE AVE
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-2539
Practice Address - Country:US
Practice Address - Phone:708-421-2712
Practice Address - Fax:773-776-1124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005166101YP2500X
TX72000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty