Provider Demographics
NPI:1053683318
Name:FLOURISH COUNSELING, LLC
Entity Type:Organization
Organization Name:FLOURISH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:SASSEVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:303-455-3767
Mailing Address - Street 1:2539 ELIOT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4709
Mailing Address - Country:US
Mailing Address - Phone:303-455-3767
Mailing Address - Fax:303-455-9667
Practice Address - Street 1:2539 ELIOT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4709
Practice Address - Country:US
Practice Address - Phone:303-455-3767
Practice Address - Fax:303-455-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4931101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty