Provider Demographics
NPI:1437923091
Name:FLOURISH SPEECH THERAPY PLLC
Entity Type:Organization
Organization Name:FLOURISH SPEECH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MULROONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-536-4508
Mailing Address - Street 1:1412 JONESTER CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2870
Mailing Address - Country:US
Mailing Address - Phone:630-536-4508
Mailing Address - Fax:
Practice Address - Street 1:1412 JONESTER CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2870
Practice Address - Country:US
Practice Address - Phone:630-536-4508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency