MEDICARE: THE FLOWER INSTITUTE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1841943735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FLOWER INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	616 EDGEFIELD RD STE 140
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-6406
Country	:	US
Telephone Number	:	803-292-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 EDGEFIELD RD STE 140
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-6406
Country	:	US
Telephone Number	:	803-292-5200
Fax Number	:	866-464-6522

Authorized Official
Title or Position	:	OWNER
Name	:	TONEISHA BUSH
Credential	:	MA, CCC-SLP
Telephone Number	:	803-640-1986

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	11/29/2022

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Directions to “THE FLOWER INSTITUTE, LLC ” Practice Location

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