Provider Demographics
NPI:1689986010
Name:FLOWERS, ANGELA CRYSTAL
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:CRYSTAL
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:
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 17442
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-0442
Mailing Address - Country:US
Mailing Address - Phone:216-394-3012
Mailing Address - Fax:
Practice Address - Street 1:26300 CEDAR RD STE 1105
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1190
Practice Address - Country:US
Practice Address - Phone:216-394-3012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0500270104100000X
OHI.16003451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker