Provider Demographics
NPI:1982359527
Name:FLOURISH COLLECTIVE INC
Entity Type:Organization
Organization Name:FLOURISH COLLECTIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-883-0572
Mailing Address - Street 1:42 FRIENDSHIP ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2252
Mailing Address - Country:US
Mailing Address - Phone:908-883-0572
Mailing Address - Fax:
Practice Address - Street 1:42 FRIENDSHIP ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2252
Practice Address - Country:US
Practice Address - Phone:908-883-0572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-12
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty