Provider Demographics
NPI:1053601138
Name:FLORES, ROBERT C (LCSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:FLORES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17688
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80402-6028
Mailing Address - Country:US
Mailing Address - Phone:303-946-5003
Mailing Address - Fax:303-557-6240
Practice Address - Street 1:16154 ROCK CRYSTAL DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3305
Practice Address - Country:US
Practice Address - Phone:303-946-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical