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General NPI Number Information
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NPI Number | 1689318198
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Entity Type | Organization
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Legal Business Name | FLOURISHMENT PSYCHOLOGY, INC.
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 1849 SAWTELLE BLVD STE 610
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City | LOS ANGELES
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State | CA
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Zip | 90025-7013
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Country | US
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Telephone | 323-451-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 2634 KELTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90064-3130
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Country | US
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Telephone | 504-232-0901
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. KATHRYN MOORE WILLIAMS
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Credential | PH.D.
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Telephone | 323-451-2332
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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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