Healthcare Provider Details

I. General information

NPI: 1972063592
Provider Name (Legal Business Name): FLOURISH COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 SAINT ROSE PKWY STE 306
HENDERSON NV
89074-7775
US

IV. Provider business mailing address

1879 CYPRESS MESA DR
HENDERSON NV
89012-6166
US

V. Phone/Fax

Practice location:
  • Phone: 702-706-6589
  • Fax: 702-938-8642
Mailing address:
  • Phone: 801-599-7063
  • Fax: 702-938-8642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY GARR
Title or Position: OWNER/PROVIDER
Credential: LCSW
Phone: 801-599-7063