Leticia Yolanda Flores, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3162 Issued in TN

Practice address

600 Henley Street
Suite 208 Ut Psychological Clinic Ut Conference Center
Knoxville, TN 37996

Phone

(865) 974-2161

Fax

(865) 974-3330

NPI assigned

Jul 10, 2006

Last updated

Apr 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Commonwealth Counseling Associates Inc

  dba LifeStance Health

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1700810132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HENLEY STREET",
            "address_2": "SUITE 208 UT PSYCHOLOGICAL CLINIC UT CONFERENCE CENTER",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37996",
            "telephone_number": "865-974-2161",
            "fax_number": "865-974-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HENLEY STREET",
            "address_2": "SUITE 208 UT PSYCHOLOGICAL CLINIC UT CONFERENCE CENTER",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37996",
            "telephone_number": "865-974-2161",
            "fax_number": "865-974-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "LETICIA",
        "middle_name": "YOLANDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003415",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina S Flomberg, PHARMD
• Mirel Flores Ramirez
• Alicia Flores Sanchez, AUD
• Flores Vestibular Audiology PLLC
• Cristina Flores
• Marcos Rene Flores, MD
• Anthony L Florian, M.D.
• Flourish Therapeutic Massage
• Flourishing Compass Counseling Services, PLLC
• Lela Flowers

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.