Healthcare Provider Details

I. General information

NPI: 1053248005
Provider Name (Legal Business Name): FLOURISHING MINDS INTEGRATIVE PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 3RD AVE SW
FARLEY IA
52046-9673
US

IV. Provider business mailing address

208 3RD AVE SW
FARLEY IA
52046-9673
US

V. Phone/Fax

Practice location:
  • Phone: 563-543-2061
  • Fax: 563-594-5300
Mailing address:
  • Phone: 563-543-2061
  • Fax: 563-594-5300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EARLENE M ANGELL
Title or Position: DNP ARNP PMHNP-BC
Credential: DNP ARNP PMHNP-BC
Phone: 563-543-2061