MEDICARE: THRIVANCE HEALTH DBA REFLOURISH WELLNESS

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1861336091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVANCE HEALTH DBA REFLOURISH WELLNESS

Provider Business Mailing Address
First Line	:	4051 VETERANS MEMORIAL BLVD STE 209
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5547
Country	:	US
Telephone Number	:	985-210-9030
Fax Number	:

Provider Business Practice Location Address
First Line	:	4051 VETERANS MEMORIAL BLVD STE 209
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5547
Country	:	US
Telephone Number	:	985-210-9030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHEREE B HARRIS
Credential	:	FNP-C
Telephone Number	:	985-210-9030

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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