Healthcare Provider Details

I. General information

NPI: 1306587761
Provider Name (Legal Business Name): FLOURISH COUPLES & FAMILY THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W TUSCOLA ST STE C
FRANKENMUTH MI
48734-1548
US

IV. Provider business mailing address

140 W TUSCOLA ST STE C
FRANKENMUTH MI
48734-1548
US

V. Phone/Fax

Practice location:
  • Phone: 989-482-9666
  • Fax:
Mailing address:
  • Phone: 989-482-9666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CLAIRE ZWERK
Title or Position: OWNER
Credential: LMSW
Phone: 989-482-9666