MEDICARE: LUCY R FLOWERS, LPC, 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
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1588341549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUCY R FLOWERS, LPC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1273
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39703-1273
Country	:	US
Telephone Number	:	662-244-5552
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 COLLEGE ST
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39701-5741
Country	:	US
Telephone Number	:	662-244-5552
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ COUNSELOR
Name	:	LUCY R FLOWERS
Credential	:	LPC
Telephone Number	:	662-244-5552

Provider Enumeration Date	:	06/30/2023
Last Update Date	:	06/30/2023

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