Healthcare Provider Details

I. General information

NPI: 1821784364
Provider Name (Legal Business Name): FLOURISH PSYCHOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6530 S YOSEMITE ST STE 210
GREENWOOD VILLAGE CO
80111-5128
US

IV. Provider business mailing address

6530 S YOSEMITE ST STE 210
GREENWOOD VILLAGE CO
80111-5128
US

V. Phone/Fax

Practice location:
  • Phone: 720-778-4077
  • Fax: 720-778-4078
Mailing address:
  • Phone: 720-778-4077
  • Fax: 720-778-4078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY MICHELLE SPRING THOMPSON
Title or Position: OWNER, CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 720-295-5437