Healthcare Provider Details

I. General information

NPI: 1417570946
Provider Name (Legal Business Name): FLOURISH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24757 HAWTHORNE DR
BEACHWOOD OH
44122-2317
US

IV. Provider business mailing address

24757 HAWTHORNE DR
BEACHWOOD OH
44122-2317
US

V. Phone/Fax

Practice location:
  • Phone: 216-513-2203
  • Fax:
Mailing address:
  • Phone: 216-513-2203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACQUELYN BELL
Title or Position: OWNER
Credential: LPCC
Phone: 216-513-2203