Healthcare Provider Details

I. General information

NPI: 1841943735
Provider Name (Legal Business Name): THE FLOWER INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 EDGEFIELD RD STE 140
NORTH AUGUSTA SC
29841-6406
US

IV. Provider business mailing address

616 EDGEFIELD RD STE 140
NORTH AUGUSTA SC
29841-6406
US

V. Phone/Fax

Practice location:
  • Phone: 803-292-5200
  • Fax: 866-464-6522
Mailing address:
  • Phone: 803-292-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TONEISHA BUSH
Title or Position: OWNER
Credential: MA, CCC-SLP
Phone: 803-640-1986