MEDICARE: FLOURISH WITH THE GROVE

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1972498251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOURISH WITH THE GROVE

Provider Business Mailing Address
First Line	:	8840 CYPRESS WATERS BLVD STE 150
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-4616
Country	:	US
Telephone Number	:	682-449-8475
Fax Number	:	839-887-0747

Provider Business Practice Location Address
First Line	:	8840 CYPRESS WATERS BLVD STE 150
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-4616
Country	:	US
Telephone Number	:	972-876-3214
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARGARET A CUSACK
Credential	:	NP
Telephone Number	:	682-449-8475

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	03/18/2026

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Directions to “FLOURISH WITH THE GROVE ” Practice Location

Language	Start Address	Practice Location

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