| Flourish Therapeutics Llc | |
|
116 Sachem St Ste 1 Norwich CT 06360-4112 | |
| (860) 337-9238 | |
| Not Available |
| Full Name | Flourish Therapeutics Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 116 Sachem St Ste 1, Norwich, Connecticut |
| Authorized Official Name and Position | Denyce Martell (OWNER) |
| Authorized Official Contact | 8609086728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Therapeutics Llc 19 Julian Dr Preston CT 06365-8002 Ph: (860) 908-6728 | Flourish Therapeutics Llc 116 Sachem St Ste 1 Norwich CT 06360-4112 Ph: (860) 337-9238 |
| NPI Number | 1366115438 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Medicare PECOS PAC ID | 0244677334 |
|---|---|
| Medicare Enrollment ID | O20240325003663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366115438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Denyce Marie Martell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437701497 PECOS PAC ID: 1153768247 Enrollment ID: I20240325003702 |
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