Provider Demographics
NPI:1417570946
Name:FLOURISH COUNSELING, LLC
Entity Type:Organization
Organization Name:FLOURISH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:216-513-2203
Mailing Address - Street 1:24757 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2317
Mailing Address - Country:US
Mailing Address - Phone:216-513-2203
Mailing Address - Fax:
Practice Address - Street 1:24757 HAWTHORNE DR
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-2317
Practice Address - Country:US
Practice Address - Phone:216-513-2203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health