MEDICARE: MR. JOSHUA FLOWERS LPC, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACD.0000389	CO
2	101YP2500X	Professional Counselor	LPC.0012067	CO

General Provider Information

NPI Number	:	1235433368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA FLOWERS LPC, LAC

Provider Business Mailing Address
First Line	:	4851 INDEPENDENCE ST
Second Line	:	SUITE 200
City	:	DENVER
State	:	CO
Zip	:	80033-6715
Country	:	US
Telephone Number	:	303-425-0300
Fax Number	:	303-432-5071

Provider Business Practice Location Address
First Line	:	4851 INDEPENDENCE ST
Second Line	:	SUITE 200
City	:	DENVER
State	:	CO
Zip	:	80033-6715
Country	:	US
Telephone Number	:	303-425-0300
Fax Number	:	303-432-5071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2011
Last Update Date	:	03/09/2015

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