Organization
SUNFLOWER COUNSELING SERVICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN COUGHLIN (CO-OWNER)
(601) 575-6021
Entity
Organization
Contact information
Practice address
6628 ELMORE WOODS CV, MEMPHIS, TN 38134-4745
(601) 575-6021
Mailing address
1235 TIMBERBROOK LN APT 5, MEMPHIS, TN 38134-8156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/15/2019
Last updated
05/13/2019
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