Provider Demographics
NPI:1134834161
Name:FLOWERS HAVEN COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:FLOWERS HAVEN COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-915-2009
Mailing Address - Street 1:300 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:GRAYLING
Mailing Address - State:MI
Mailing Address - Zip Code:49738-1622
Mailing Address - Country:US
Mailing Address - Phone:989-915-2009
Mailing Address - Fax:
Practice Address - Street 1:5625 W M 72 HWY
Practice Address - Street 2:
Practice Address - City:GRAYLING
Practice Address - State:MI
Practice Address - Zip Code:49738-1226
Practice Address - Country:US
Practice Address - Phone:989-889-6609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty