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NPI Code Detail

MEDICARE: WE FLOURISH, INC.

MEDICARE: WE FLOURISH, INC.
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
1103T00000XPsychologist
2133NN1002XNutrition Education Nutritionist
3133V00000XRegistered Dietitian
4171400000XHealth & Wellness Coach
5251S00000XCommunity/Behavioral Health Agency
6133N00000XNutritionist

General Provider Information

NPI Number : 1548905813
Entity Type Code : Organization
Provider Name (Legal Business Name) : WE FLOURISH, INC.
Provider Business Mailing Address
First Line : 7421 BURNET RD # 269
Second Line :
City : AUSTIN
State : TX
Zip : 78757-2244
Country : US
Telephone Number : 281-793-3525
Fax Number :
Provider Business Practice Location Address
First Line : 10601 CLARENCE DR STE 250
Second Line :
City : FRISCO
State : TX
Zip : 75033-3867
Country : US
Telephone Number : 281-793-3525
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATIONS OFFICER
Name : JONATHAN GANTHIER
Credential :
Telephone Number : 281-793-3525
Provider Enumeration Date : 05/02/2022
Last Update Date : 05/02/2022

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