Provider Demographics
NPI:1689323560
Name:FLOURISHING LIVES COUNSELING, PLLC
Entity Type:Organization
Organization Name:FLOURISHING LIVES COUNSELING, PLLC
Other - Org Name:FLOURISHING LIVES COUNSELING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS
Authorized Official - Phone:828-289-7612
Mailing Address - Street 1:PO BOX 645
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-0645
Mailing Address - Country:US
Mailing Address - Phone:828-289-7612
Mailing Address - Fax:828-287-3096
Practice Address - Street 1:431 S MAIN ST STE 9&10
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2946
Practice Address - Country:US
Practice Address - Phone:828-289-7612
Practice Address - Fax:800-782-9209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-20
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)