| Flourish Mental Wellness | |
|
1640 Lelia Dr Ste 120 Jackson MS 39216-4873 | |
| (601) 914-4492 | |
| (601) 914-6715 |
| Full Name | Flourish Mental Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1640 Lelia Dr Ste 120, Jackson, Mississippi |
| Authorized Official Name and Position | Ian D Walker (MEMBER) |
| Authorized Official Contact | 6019144492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Mental Wellness 1640 Lelia Dr Ste 120 Jackson MS 39216-4873 Ph: () - | Flourish Mental Wellness 1640 Lelia Dr Ste 120 Jackson MS 39216-4873 Ph: (601) 914-4492 |
| NPI Number | 1598406548 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598406548 | NPI | - | NPPES |
| 06285286 | Medicaid | MS |
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