Provider Demographics
NPI:1043082167
Name:FLOURISH RELATIONAL THERAPY LLC
Entity Type:Organization
Organization Name:FLOURISH RELATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SEX AND RELATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFTA
Authorized Official - Phone:864-214-5169
Mailing Address - Street 1:58 N WINDWARD CT
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-6151
Mailing Address - Country:US
Mailing Address - Phone:864-214-5169
Mailing Address - Fax:
Practice Address - Street 1:58 N WINDWARD CT
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-6151
Practice Address - Country:US
Practice Address - Phone:864-214-5169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)