Healthcare Provider Details

I. General information

NPI: 1821917584
Provider Name (Legal Business Name): FLOURISH THERAPY STUDIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 LAUREL AVE
WEST ALLENHURST NJ
07711-1419
US

IV. Provider business mailing address

607 LAUREL AVE
WEST ALLENHURST NJ
07711-1419
US

V. Phone/Fax

Practice location:
  • Phone: 732-508-0585
  • Fax:
Mailing address:
  • Phone: 732-508-0585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANNE RAULERSON
Title or Position: OWNER
Credential: LCSW
Phone: 732-508-0585