| Nourish2flourish Psychology, Llc | |
|
120 W 7th St Bloomington IN 47404 | |
| (812) 929-4593 | |
| (812) 961-6551 |
| Full Name | Nourish2flourish Psychology, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 120 W 7th St, Bloomington, Indiana |
| Authorized Official Name and Position | Amanda Roth (CLINICAL PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 8129294593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish2flourish Psychology, Llc 3849 S Cramer Cir Bloomington IN 47403-8997 Ph: (812) 929-4593 | Nourish2flourish Psychology, Llc 120 W 7th St Bloomington IN 47404 Ph: (812) 929-4593 |
| NPI Number | 1053067124 |
|---|---|
| Provider Enumeration Date | 02/26/2022 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053067124 | NPI | - | NPPES |
| 1588334171 | Other | IN | PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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