Provider Demographics
NPI:1891204392
Name:FLOWERS, NIQUETTA ADELL (LPC)
Entity type:Individual
Prefix:
First Name:NIQUETTA
Middle Name:ADELL
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ADELL
Other - Middle Name:
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6621 CROSSING CREEK PT
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-5726
Mailing Address - Country:US
Mailing Address - Phone:678-860-4148
Mailing Address - Fax:
Practice Address - Street 1:6621 CROSSING CREEK PT.
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168
Practice Address - Country:US
Practice Address - Phone:678-860-4148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008313101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional