Provider Demographics
NPI:1801285630
Name:FLOWERS, BRYAN ANDREW (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:ANDREW
Last Name:FLOWERS
Suffix:
Gender:
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 BAY ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3003
Mailing Address - Country:US
Mailing Address - Phone:518-490-9473
Mailing Address - Fax:
Practice Address - Street 1:97 BAY ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3003
Practice Address - Country:US
Practice Address - Phone:518-490-9473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-16
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCASAC-28030101YA0400X
NY006415-D101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)