Provider Demographics
NPI:1124621792
Name:FLOURISH BEHAVIORAL HEALTH AND WELLNESS, PLLC
Entity type:Organization
Organization Name:FLOURISH BEHAVIORAL HEALTH AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:LENEIGH
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LMFT-S
Authorized Official - Phone:832-480-1871
Mailing Address - Street 1:23010 GABRIEL STE 202
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-4165
Mailing Address - Country:US
Mailing Address - Phone:832-480-1871
Mailing Address - Fax:832-480-1871
Practice Address - Street 1:23010 GABRIEL STE 202
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-4165
Practice Address - Country:US
Practice Address - Phone:832-480-1871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty