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General NPI Number Information
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NPI Number | 1932612918
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Entity Type | Organization
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Legal Business Name | FLOURISH COUNSELING AND WELLNESS, LLC
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 810 LOCUST ST
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City | DUBUQUE
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State | IA
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Zip | 52001-6705
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Country | US
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Telephone | 563-275-6763
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Fax | 563-217-4013
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Provider Business Mailing Address
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Address Line | 810 LOCUST ST
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City | DUBUQUE
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State | IA
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Zip | 52001-6705
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Country | US
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Telephone | 563-275-6763
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Fax | 563-217-4013
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CASEY EDWARDS
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Credential | LISW
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Telephone | 563-451-2489
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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 | 072407
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License Number State | IA
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