| Flourishing Focus, Llc | |
|
144 E 194th St Euclid OH 44119-1030 | |
| (216) 789-9536 | |
| Not Available |
| Full Name | Flourishing Focus, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 144 E 194th St, Euclid, Ohio |
| Authorized Official Name and Position | Larissa Malcolm (OWNER) |
| Authorized Official Contact | 4407536287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourishing Focus, Llc 144 E 194th St Euclid OH 44119-1030 Ph: (440) 753-6287 | Flourishing Focus, Llc 144 E 194th St Euclid OH 44119-1030 Ph: (216) 789-9536 |
| NPI Number | 1265040729 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/22/2022 |
| Certification Date | 07/22/2022 |
| Medicare PECOS PAC ID | 9234529116 |
|---|---|
| Medicare Enrollment ID | O20211208002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265040729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Larissa Malcolm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689058273 PECOS PAC ID: 1355604760 Enrollment ID: I20180418000955 |
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