MEDICARE: THE FLOURISH PLACE

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	:	1841154408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FLOURISH PLACE

Provider Business Mailing Address
First Line	:	124 GARY ALLEN BLVD
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35757-8221
Country	:	US
Telephone Number	:	540-641-8517
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 REGAL DR SW STE D
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5649
Country	:	US
Telephone Number	:	256-580-7423
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	MRS. JENNIFER NESTER-FARMER
Credential	:	LICSW
Telephone Number	:	540-641-8517

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “THE FLOURISH PLACE ” Practice Location

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