Provider Demographics
NPI:1679229884
Name:FLOURISH, PLLC
Entity Type:Organization
Organization Name:FLOURISH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TESALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL-FELTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:954-361-4855
Mailing Address - Street 1:10 G ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4213
Mailing Address - Country:US
Mailing Address - Phone:954-361-4852
Mailing Address - Fax:
Practice Address - Street 1:10 G ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4213
Practice Address - Country:US
Practice Address - Phone:954-361-4852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty