Provider Demographics
NPI:1427857523
Name:FLOURISH LACTATION
Entity type:Organization
Organization Name:FLOURISH LACTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:KATARINA
Authorized Official - Middle Name:BERNICE
Authorized Official - Last Name:WOROSELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-652-8620
Mailing Address - Street 1:8200 RIVERSIDE RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-1538
Mailing Address - Country:US
Mailing Address - Phone:832-652-8620
Mailing Address - Fax:
Practice Address - Street 1:8200 RIVERSIDE RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22308-1538
Practice Address - Country:US
Practice Address - Phone:832-652-8620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No305S00000XManaged Care OrganizationsPoint of Service