Provider Demographics
NPI:1104589514
Name:BYRDSONG-FLOWERS, CHARTIA (LCSW, CADC II)
Entity type:Individual
Prefix:
First Name:CHARTIA
Middle Name:
Last Name:BYRDSONG-FLOWERS
Suffix:
Gender:F
Credentials:LCSW, CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4776 ROLLINS DR UNIT 116
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-3370
Mailing Address - Country:US
Mailing Address - Phone:470-818-8648
Mailing Address - Fax:
Practice Address - Street 1:4776 ROLLINS DR UNIT 116
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-3370
Practice Address - Country:US
Practice Address - Phone:470-818-8648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
GA01689101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)