| Flourish Center For Cultivating Human Potential | |
|
2301 E Michigan Ave Ste 214 Jackson MI 49202-3765 | |
| (517) 745-8682 | |
| (517) 513-6536 |
| Full Name | Flourish Center For Cultivating Human Potential |
|---|---|
| Speciality | Social Worker |
| Location | 2301 E Michigan Ave Ste 214, Jackson, Michigan |
| Authorized Official Name and Position | Korah Hoffman (FOUNDER/CEO) |
| Authorized Official Contact | 5177458682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Center For Cultivating Human Potential 2301 E Michigan Ave Ste 214 Jackson MI 49202-3765 Ph: (517) 745-8682 | Flourish Center For Cultivating Human Potential 2301 E Michigan Ave Ste 214 Jackson MI 49202-3765 Ph: (517) 745-8682 |
| NPI Number | 1669920344 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 09/12/2016 |
| Medicare PECOS PAC ID | 2860776150 |
|---|---|
| Medicare Enrollment ID | O20170306001182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669920344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801097448 (Michigan) | Primary |
| Provider Name | Korah L Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396148581 PECOS PAC ID: 8022392315 Enrollment ID: I20170216000644 |
| Provider Name | Alyssa Penley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336896521 PECOS PAC ID: 0446618250 Enrollment ID: I20230626002156 |
| Provider Name | Darcie Burdick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164898458 PECOS PAC ID: 3870930647 Enrollment ID: I20240328002046 |
Alexis Ahlbaum Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5633 Poplar Dr, Jackson, MI 49201 Phone: 517-270-1994 | |
Cycle Of Life Support Chs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 E Ganson St, Jackson, MI 49202 Phone: 616-275-8930 Fax: 616-608-3693 | |
Inner Guidance Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 W Michigan Ave, Jackson, MI 49201 Phone: 517-416-8878 Fax: 517-962-5316 | |
Center For Family Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5500 | |
Lifeways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N. West Avenue, Jackson, MI 49202 Phone: 517-789-1209 Fax: 517-796-4532 | |
Highfields Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Clinton Rd, Jackson, MI 49202 Phone: 517-783-4250 | |
Lifeways Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 N. West Avenue, Jackson, MI 49202 Phone: 517-789-1209 Fax: 517-796-4532 |