Healthcare Provider Details

I. General information

NPI: 1275471062
Provider Name (Legal Business Name): FLOURISH INTEGRATIVE CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 KELSEA DR
BROUSSARD LA
70518-4966
US

IV. Provider business mailing address

402 KELSEA DR
BROUSSARD LA
70518-4966
US

V. Phone/Fax

Practice location:
  • Phone: 337-654-2595
  • Fax:
Mailing address:
  • Phone: 337-654-2595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MRS. DENISE JORDAN JORDAN
Title or Position: PRINCIPAL CONSULTANT/LPN
Credential: LPN
Phone: 337-654-2595