Healthcare Provider Details

I. General information

NPI: 1306634738
Provider Name (Legal Business Name): KEKE'S SUNFLOWER GARDEN THERAPY AND COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2025
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4268 MAYBROOK CT SW
CONCORD NC
28027-8707
US

IV. Provider business mailing address

4268 MAYBROOK CT SW
CONCORD NC
28027-8707
US

V. Phone/Fax

Practice location:
  • Phone: 704-490-6884
  • Fax:
Mailing address:
  • Phone: 704-490-6884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TAL'MEISHA FRONTIS
Title or Position: OWNER / CLINICAL DIRECTOR
Credential: M.S., NCC, LCMHC-S,
Phone: 704-490-6884