Organization · NPI-2

Flourish Therapy, LLC

Clinic/Center, Adult Mental Health · Palmer, AK

NPI number1770218422
StatusActive
Last updated in NPPESJul 18, 2022

Details

NPI
1770218422
Entity type
Organization (NPI-2)
Legal business name
Flourish Therapy, LLC
Organization subpart
No
Enumeration date
Jul 18, 2022
Certification date
Jul 7, 2022
Last updated
Jul 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

11350 E Palmer Wasilla Hwy
Palmer, AK 99645-7425

Phone 907-802-6595 · Fax 907-313-1379

Mailing address

Po Box 2956
Palmer, AK 99645-2956

Phone 907-802-6595 · Fax 907-313-1379

Authorized official

Lauren Berberich
Owner
9078026595

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