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General NPI Number Information
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NPI Number | 1366115438
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Entity Type | Organization
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Legal Business Name | FLOURISH THERAPEUTICS LLC
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 116 SACHEM ST STE 1
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City | NORWICH
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State | CT
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Zip | 06360-4112
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Country | US
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Telephone | 860-337-9238
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Fax |
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Provider Business Mailing Address
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Address Line | 19 JULIAN DR
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City | PRESTON
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State | CT
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Zip | 06365-8002
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Country | US
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Telephone | 860-908-6728
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENYCE MARTELL
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Credential | LMFT
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Telephone | 860-908-6728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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