Provider Demographics
NPI:1306587761
Name:FLOURISH COUPLES & FAMILY THERAPY, LLC
Entity type:Organization
Organization Name:FLOURISH COUPLES & FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZWERK
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:989-482-9666
Mailing Address - Street 1:140 W TUSCOLA ST STE C
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-1548
Mailing Address - Country:US
Mailing Address - Phone:989-482-9666
Mailing Address - Fax:
Practice Address - Street 1:140 W TUSCOLA ST STE C
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1548
Practice Address - Country:US
Practice Address - Phone:989-482-9666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1376101899OtherNPI1