Provider Demographics
NPI:1346847951
Name:FLOURISH MENTAL WELLNESS, PLLC
Entity Type:Organization
Organization Name:FLOURISH MENTAL WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCGRAW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-600-5514
Mailing Address - Street 1:13802 N SCOTTSDALE RD STE 153
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-3437
Mailing Address - Country:US
Mailing Address - Phone:602-600-5514
Mailing Address - Fax:
Practice Address - Street 1:7314 E PIERCE ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-4235
Practice Address - Country:US
Practice Address - Phone:602-600-5514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty