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General NPI Number Information
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NPI Number | 1700575313
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Entity Type | Organization
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Legal Business Name | FLOURISH COUNSELING SERVICES
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 2206 RUE SIMONE
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City | HAMMOND
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State | LA
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Zip | 70403-5730
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Country | US
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Telephone | 985-351-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 RUE SIMONE
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City | HAMMOND
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State | LA
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Zip | 70403-5730
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Country | US
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Telephone | 985-351-3416
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Fax |
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Authorized Official
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Title or Position | LPC/OWNER
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Name | SAMANTHA SMITH
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Credential | LPC
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Telephone | 985-351-3416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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