Provider Demographics
NPI:1952174898
Name:FLOWERS, NADINE M (LPCC)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:M
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 VENICE BLVD APT 208
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-4900
Mailing Address - Country:US
Mailing Address - Phone:310-918-6211
Mailing Address - Fax:
Practice Address - Street 1:122 LINCOLN BLVD STE 203B
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-2859
Practice Address - Country:US
Practice Address - Phone:626-817-6340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8746101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health