Provider Demographics
NPI:1194593384
Name:FLOWERS, LESLIE A (NBC-HWC)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:A
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 E 56TH ST APT F
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-6405
Mailing Address - Country:US
Mailing Address - Phone:317-381-1820
Mailing Address - Fax:
Practice Address - Street 1:1727 E 56TH ST APT F
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-6405
Practice Address - Country:US
Practice Address - Phone:317-381-1820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty