Healthcare Provider Details

I. General information

NPI: 1962326751
Provider Name (Legal Business Name): FLOURISH SPEECH THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 SAVANNAH
LAKE FOREST CA
92630-1455
US

IV. Provider business mailing address

88 SAVANNAH
LAKE FOREST CA
92630-1455
US

V. Phone/Fax

Practice location:
  • Phone: 425-394-2880
  • Fax:
Mailing address:
  • Phone: 425-394-2880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JASMINE MORCOS
Title or Position: CEO, SPEECH LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP
Phone: 425-394-2880