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NPI Code Detail

MEDICARE: SUNFLOWER THERAPY LLC

MEDICARE: SUNFLOWER THERAPY LLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1265318844
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNFLOWER THERAPY LLC
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 407-735-6176
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 407-735-6176
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JESSICA ELIZABRTH DOMINGO
Credential : LCSW
Telephone Number : 407-735-6176
Provider Enumeration Date : 08/12/2025
Last Update Date : 01/20/2026

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Directions to “SUNFLOWER THERAPY LLC ” Practice Location

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