Provider Demographics
NPI:1467200766
Name:FLOURISH RECREATIONAL THERAPY CONSULTANTS, LLC
Entity type:Organization
Organization Name:FLOURISH RECREATIONAL THERAPY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RECREATIONAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SILANDER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, CTRS
Authorized Official - Phone:630-479-8412
Mailing Address - Street 1:8921 STONY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9335
Mailing Address - Country:US
Mailing Address - Phone:630-479-8412
Mailing Address - Fax:
Practice Address - Street 1:8921 STONY CREEK RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9335
Practice Address - Country:US
Practice Address - Phone:630-479-8412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty