| Flourish Nevada | |
|
458 Court St Ste 106 Reno NV 89501-1709 | |
| (775) 453-6841 | |
| Not Available |
| Full Name | Flourish Nevada |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 458 Court St Ste 106, Reno, Nevada |
| Authorized Official Name and Position | Kaitlind Johnson (MANAGING MEMBER) |
| Authorized Official Contact | 7754536841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Nevada 3495 Lakeside Dr # 1231 Reno NV 89509-4841 Ph: (775) 453-6841 | Flourish Nevada 458 Court St Ste 106 Reno NV 89501-1709 Ph: (775) 453-6841 |
| NPI Number | 1508550666 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508550666 | NPI | - | NPPES |
| 1043856198 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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