Healthcare Provider Details

I. General information

NPI: 1356199095
Provider Name (Legal Business Name): SYLVIA FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6855 W CLEARWATER AVE STE K
KENNEWICK WA
99336-1720
US

IV. Provider business mailing address

6855 W CLEARWATER AVE STE K
KENNEWICK WA
99336-1720
US

V. Phone/Fax

Practice location:
  • Phone: 509-792-6162
  • Fax:
Mailing address:
  • Phone: 509-792-6162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSWIA.SC.70007074
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: