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General NPI Number Information
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NPI Number | 1457957920
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Entity Type | Organization
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Legal Business Name | FLOURISH POINT, INC.
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 343 E 4TH N STE 238
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City | REXBURG
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State | ID
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Zip | 83440-6009
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Country | US
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Telephone | 208-252-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 45 S 3RD E
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City | REXBURG
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State | ID
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Zip | 83440-2001
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Country | US
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Telephone | 530-949-4774
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JONI HUNT
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Credential | RN
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Telephone | 530-949-4774
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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