Healthcare Provider Details

I. General information

NPI: 1952298663
Provider Name (Legal Business Name): FLOURISH HORMONE REPLACEMENT & WELLNESS CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10129 CROSSING WAY STE 404
DENHAM SPRINGS LA
70726-5892
US

IV. Provider business mailing address

10129 CROSSING WAY STE 404
DENHAM SPRINGS LA
70726-5892
US

V. Phone/Fax

Practice location:
  • Phone: 225-283-1211
  • Fax: 225-380-2188
Mailing address:
  • Phone: 225-283-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIRANDA HEBERT
Title or Position: OWNER
Credential: APRN, CNM
Phone: 225-283-1211