Jessica Flowers
Individual provider Active NPI Mental Health Counselor · Tyrone, GA
NPI 1235864422 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1235864422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC010214 (GA)
- Practice address
- 1015 Tyrone Rd Ste 710
Tyrone, GA 30290-2455 - Phone
- (770) 468-3326
- NPI assigned
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010214 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Are Back on Track LLC | Current |
Accepting new patients |
Locations
1015 Tyrone Rd
Ste 710
Tyrone, GA 30290
Phone (770) 468-3266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC010214 | GA | Yes |
Addresses
Primary practice location
1015 Tyrone Rd Ste 710
Tyrone, GA 30290-2455
Mailing address
PO Box 1543
Palmetto, GA 30268-7543
Phone (404) 697-3032
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica@wearebackontrack.com | Direct |
Other providers in Tyrone, GA
- Janet Tirrell Fason
- Sze Wan Feigleson
- Liza Moran Fernandez
- Phedra Fields
- Peggy Ann Fitzgerald Murry
- Sydney Found
- Olivia Chante' Frazier
- G. Scott Williamson O.D., P.C.
- Julietta Avila Gamboa
- Peyton Garrett
All providers in Tyrone, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.