Provider Demographics
NPI:1891810602
Name:THE CENTRE FOR HUMAN FLOURISHING, P.L.L.C.
Entity Type:Organization
Organization Name:THE CENTRE FOR HUMAN FLOURISHING, P.L.L.C.
Other - Org Name:DAWN R. NELSON, PSY.D., M.DIV.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:R
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, MDIV
Authorized Official - Phone:414-331-0952
Mailing Address - Street 1:239 E. CHICAGO ST.
Mailing Address - Street 2:#203
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-3007
Mailing Address - Country:US
Mailing Address - Phone:414-331-0952
Mailing Address - Fax:
Practice Address - Street 1:239 E. CHICAGO ST.
Practice Address - Street 2:#203
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-3007
Practice Address - Country:US
Practice Address - Phone:414-331-0952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3157103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty