MEDICARE: FLOURISH COUNSELING & WELLNESS, LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1154966455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOURISH COUNSELING & WELLNESS, LTD.

Provider Business Mailing Address
First Line	:	53 W JACKSON BLVD STE 1232
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60604-3628
Country	:	US
Telephone Number	:	312-659-4718
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 W JACKSON BLVD STE 1232
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60604-3628
Country	:	US
Telephone Number	:	312-659-4718
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER, PSYCHOTHERAPIST
Name	:	EMILY HEILMAN
Credential	:	MA, LCSW, PMH-C
Telephone Number	:	312-659-4718

Provider Enumeration Date	:	11/10/2019
Last Update Date	:	11/10/2019

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