Healthcare Provider Details

I. General information

NPI: 1649459439
Provider Name (Legal Business Name): LOUIS ENRIQUE FLORES LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 01/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 FULTON AVE STE 300
HEMPSTEAD NY
11550-3702
US

IV. Provider business mailing address

1146 ARLINGTON AVE
FRANKLIN SQUARE NY
11010-1336
US

V. Phone/Fax

Practice location:
  • Phone: 516-481-0052
  • Fax: 516-481-2115
Mailing address:
  • Phone: 516-225-9063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number7495
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number066753
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: