| Flourish Counseling | |
|
1000 Kiln Delisle Rd Unit D Pass Christian MS 39571-9701 | |
| (228) 460-3242 | |
| Not Available |
| Full Name | Flourish Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1000 Kiln Delisle Rd Unit D, Pass Christian, Mississippi |
| Authorized Official Name and Position | Mary Reardon (OWNER) |
| Authorized Official Contact | 2284603242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Counseling Po Box 6643 Diamondhead MS 39525-6600 Ph: (228) 460-3242 | Flourish Counseling 1000 Kiln Delisle Rd Unit D Pass Christian MS 39571-9701 Ph: (228) 460-3242 |
| NPI Number | 1174278360 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Medicare PECOS PAC ID | 7618314972 |
|---|---|
| Medicare Enrollment ID | O20240321002727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174278360 | NPI | - | NPPES |
| 008480828 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Mary Reardon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073964219 PECOS PAC ID: 8527405885 Enrollment ID: I20240321002934 |
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