Provider Demographics
NPI:1750090171
Name:FLOURISH WELL SERVICES, LLC
Entity type:Organization
Organization Name:FLOURISH WELL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEREMEKA
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-637-0223
Mailing Address - Street 1:3903 CROSS HILL CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-3830
Mailing Address - Country:US
Mailing Address - Phone:817-637-0223
Mailing Address - Fax:
Practice Address - Street 1:3903 CROSS HILL CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-3830
Practice Address - Country:US
Practice Address - Phone:817-637-0223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty