| Flourish Counseling Services Pllc | |
|
91 W 200 S Provo UT 84601-4443 | |
| (801) 400-2569 | |
| Not Available |
| Full Name | Flourish Counseling Services Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 91 W 200 S, Provo, Utah |
| Authorized Official Name and Position | Lisa Tensmeyer Hansen (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8014002569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Counseling Services Pllc 1031 S 1130 W Payson UT 84651-9603 Ph: (801) 400-2569 | Flourish Counseling Services Pllc 91 W 200 S Provo UT 84601-4443 Ph: (801) 400-2569 |
| NPI Number | 1518407964 |
|---|---|
| Provider Enumeration Date | 03/05/2017 |
| Last Update Date | 03/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518407964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4859896-3902 (Utah) | Primary |
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