Provider Demographics
NPI:1689030488
Name:FLOURISH COUNSELING & MENTAL WELLNESS CENTER
Entity Type:Organization
Organization Name:FLOURISH COUNSELING & MENTAL WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SHEFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-237-7326
Mailing Address - Street 1:1017 RR 620 S
Mailing Address - Street 2:222
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1017 RR 620 S
Practice Address - Street 2:222
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5620
Practice Address - Country:US
Practice Address - Phone:512-237-7326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202617106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty