Provider Demographics
NPI:1306634738
Name:KEKE'S SUNFLOWER GARDEN THERAPY AND COUNSELING PLLC
Entity type:Organization
Organization Name:KEKE'S SUNFLOWER GARDEN THERAPY AND COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAL'MEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRONTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NCC, LCMHC-S,
Authorized Official - Phone:704-490-6884
Mailing Address - Street 1:1910 DALEY CIR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-0214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1910 DALEY CIR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-0214
Practice Address - Country:US
Practice Address - Phone:704-490-6884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)