| Flourishing Life Youth & Family Services, Llc | |
|
309 Patriots Walke Dr Suffolk VA 23434-2366 | |
| (757) 339-3772 | |
| Not Available |
| Full Name | Flourishing Life Youth & Family Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 309 Patriots Walke Dr, Suffolk, Virginia |
| Authorized Official Name and Position | Rhonda Epps (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7573393772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourishing Life Youth & Family Services, Llc 309 Patriots Walke Dr Suffolk VA 23434-2366 Ph: (757) 339-3772 | Flourishing Life Youth & Family Services, Llc 309 Patriots Walke Dr Suffolk VA 23434-2366 Ph: (757) 339-3772 |
| NPI Number | 1205561024 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205561024 | NPI | - | NPPES |
| 3727-05-001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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