| Flourish Counseling & Consultation | |
|
5671 N Oracle Rd Ste 1101 Tucson AZ 85704-3855 | |
| (425) 998-7448 | |
| Not Available |
| Full Name | Flourish Counseling & Consultation |
|---|---|
| Speciality | Social Worker |
| Location | 5671 N Oracle Rd Ste 1101, Tucson, Arizona |
| Authorized Official Name and Position | Sultana Graham (OWNER) |
| Authorized Official Contact | 2067134753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Counseling & Consultation Po Box 69072 Tucson AZ 85737-0010 Ph: (425) 998-7448 | Flourish Counseling & Consultation 5671 N Oracle Rd Ste 1101 Tucson AZ 85704-3855 Ph: (425) 998-7448 |
| NPI Number | 1023584505 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 3072849363 |
|---|---|
| Medicare Enrollment ID | O20190724002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023584505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sultana Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154761781 PECOS PAC ID: 4284928458 Enrollment ID: I20160810002306 |
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