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NPI 1568264778

NPI 1568264778 : CULTIVATE AND FLOURISH, LLC : MENIFEE, CA

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General NPI Number Information
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    NPI Number           |    1568264778
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    Entity Type          |    Organization 
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    Legal Business Name  |    CULTIVATE AND FLOURISH, LLC 
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Dates
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    Enumeration Date     |    03/26/2025
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    27681 SUNRISE SHORE DR 
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    City                 |    MENIFEE
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    State                |    CA
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    Zip                  |    92585-9058
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    Country              |    US
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    Telephone            |    503-890-2280
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    27681 SUNRISE SHORE DR 
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    City                 |    MENIFEE
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    State                |    CA
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    Zip                  |    92585-9058
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    Country              |    US
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    Telephone            |    503-890-2280
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/LPC
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    Name                 |     ELIZABETH  SHEEN 
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    Credential           |    LPC, LMHC
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    Telephone            |    503-890-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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