Provider Demographics
NPI:1518715069
Name:FLOURISH TELEHEALTH
Entity type:Organization
Organization Name:FLOURISH TELEHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:CHAMBERLAIN
Authorized Official - Last Name:ZOHORSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:443-812-1054
Mailing Address - Street 1:9027 FURROW AVE
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1841
Mailing Address - Country:US
Mailing Address - Phone:443-812-1054
Mailing Address - Fax:410-988-6091
Practice Address - Street 1:9027 FURROW AVE
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-1841
Practice Address - Country:US
Practice Address - Phone:443-812-1054
Practice Address - Fax:410-988-6091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty