MEDICARE: FLOURISH, PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1679229884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOURISH, PLLC

Provider Business Mailing Address
First Line	:	10 G ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4213
Country	:	US
Telephone Number	:	954-361-4852
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 G ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4213
Country	:	US
Telephone Number	:	954-361-4852
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TESALYN HILL-FELTON
Credential	:	LPC
Telephone Number	:	954-361-4855

Provider Enumeration Date	:	02/25/2022
Last Update Date	:	02/25/2022

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Directions to “FLOURISH, PLLC ” Practice Location

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