Healthcare Provider Details

I. General information

NPI: 1427934884
Provider Name (Legal Business Name): CENTER FOR FLOURISHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 SUN VALLEY DR STE 102
DELAFIELD WI
53018-2318
US

IV. Provider business mailing address

N73W26657 THOUSAND OAKS DR
SUSSEX WI
53089-1808
US

V. Phone/Fax

Practice location:
  • Phone: 262-698-3012
  • Fax:
Mailing address:
  • Phone: 580-606-3508
  • 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: ERIC SNYDER
Title or Position: OWNER
Credential:
Phone: 580-606-3508