Provider Demographics
NPI:1790487957
Name:FLORESCENCE THERAPY & WELLNESS
Entity Type:Organization
Organization Name:FLORESCENCE THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CORINN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:515-582-8165
Mailing Address - Street 1:8435 UNIVERSITY BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-1035
Mailing Address - Country:US
Mailing Address - Phone:515-582-8165
Mailing Address - Fax:
Practice Address - Street 1:8435 UNIVERSITY BLVD STE 8
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-1035
Practice Address - Country:US
Practice Address - Phone:515-582-8165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health