MEDICARE: FLOURISH COUNSELING CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1801266770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOURISH COUNSELING CENTER LLC

Provider Business Mailing Address
First Line	:	3038 JEREMIAH LN NW STE 103
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-5724
Country	:	US
Telephone Number	:	507-993-7731
Fax Number	:	507-607-8682

Provider Business Practice Location Address
First Line	:	3038 JEREMIAH LN NW STE 103
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-5724
Country	:	US
Telephone Number	:	507-993-7731
Fax Number	:	507-607-8682

Authorized Official
Title or Position	:	FOUNDER, COUNSELOR
Name	:	MRS. ALLISON JEAN LOFTUS
Credential	:	LPCC
Telephone Number	:	507-993-7731

Provider Enumeration Date	:	10/04/2015
Last Update Date	:	10/22/2025

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