MEDICARE: FLOURISHING TOGETHER COUNSELING LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1679283170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOURISHING TOGETHER COUNSELING LLC

Provider Business Mailing Address
First Line	:	340 CHAPEL HILL RD
Second Line	:
City	:	COLD SPRING
State	:	MN
Zip	:	56320-4581
Country	:	US
Telephone Number	:	763-210-8759
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 CHAPEL HILL RD
Second Line	:
City	:	COLD SPRING
State	:	MN
Zip	:	56320-4581
Country	:	US
Telephone Number	:	763-210-8759
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MELISSA J KRON
Credential	:	LMFT
Telephone Number	:	763-210-8759

Provider Enumeration Date	:	11/25/2022
Last Update Date	:	11/25/2022

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