Provider Demographics
NPI:1003569765
Name:FLOURISHING BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:FLOURISHING BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-377-1399
Mailing Address - Street 1:12234 SHADOW CREEK PKWY STE 5108
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7335
Mailing Address - Country:US
Mailing Address - Phone:832-377-1399
Mailing Address - Fax:832-243-1070
Practice Address - Street 1:12234 SHADOW CREEK PKWY STE 5108
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7335
Practice Address - Country:US
Practice Address - Phone:832-377-1399
Practice Address - Fax:832-243-1070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty