Provider Demographics
NPI:1588094262
Name:FLOWERS, RICHARD CHAD (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:CHAD
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-5680
Mailing Address - Country:US
Mailing Address - Phone:972-216-5577
Mailing Address - Fax:972-285-5347
Practice Address - Street 1:1200 POPLAR DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-5680
Practice Address - Country:US
Practice Address - Phone:972-216-5577
Practice Address - Fax:972-285-5347
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66639101YM0800X, 101YP2500X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral