Healthcare Provider Details
I. General information
NPI: 1306770276
Provider Name (Legal Business Name): SUNFLOWER ZS HEALING GARDEN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
514 GUILBEAU RD # A
LAFAYETTE LA
70506-8421
US
IV. Provider business mailing address
3601 KALISTE SALOOM RD UNIT 905
LAFAYETTE LA
70508-7636
US
V. Phone/Fax
- Phone: 708-679-4316
- Fax:
- Phone: 708-679-4316
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZADORA
WILLIAMS
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 708-679-4316