Healthcare Provider Details

I. General information

NPI: 1215853510
Provider Name (Legal Business Name): FLOURISH PSYCHIATRY & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25052 W PAWNEE LN
CHANNAHON IL
60410-3311
US

IV. Provider business mailing address

25052 W PAWNEE LN
CHANNAHON IL
60410-3311
US

V. Phone/Fax

Practice location:
  • Phone: 815-483-3172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: SARAH PIPER
Title or Position: PMHNP
Credential: MSN, APRN, PMHNP-BC
Phone: 815-483-3172