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General NPI Number Information
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NPI Number | 1881201630
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Entity Type | Organization
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Legal Business Name | FLOURISH COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 121 ROLLING HILL RD STE 110B
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City | MOORESVILLE
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State | NC
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Zip | 28117-8856
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Country | US
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Telephone | 704-360-2464
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Fax |
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Provider Business Mailing Address
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Address Line | 121 ROLLING HILL RD STE 110B
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City | MOORESVILLE
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State | NC
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Zip | 28117-8856
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Country | US
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Telephone | 704-360-2464
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Fax |
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Authorized Official
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Title or Position | BILLING/CREDENTIALING
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Name | JEWEL CHICKERING
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Credential |
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Telephone | 704-309-3747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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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