Provider Demographics
NPI:1548928971
Name:FLOWART THERAPY, PLLC
Entity type:Organization
Organization Name:FLOWART THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LCPC, LCPAT
Authorized Official - Phone:253-201-2436
Mailing Address - Street 1:1600B SW DASH POINT RD # 1017
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-4530
Mailing Address - Country:US
Mailing Address - Phone:253-201-2436
Mailing Address - Fax:
Practice Address - Street 1:1600B SW DASH POINT RD # 1017
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-4530
Practice Address - Country:US
Practice Address - Phone:253-201-2436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty