Provider Demographics
NPI:1659261253
Name:NOURISH & FLOURISH THERAPY LLC
Entity type:Organization
Organization Name:NOURISH & FLOURISH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:K
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC LIMHP
Authorized Official - Phone:402-802-6709
Mailing Address - Street 1:15928 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-1958
Mailing Address - Country:US
Mailing Address - Phone:402-802-6709
Mailing Address - Fax:
Practice Address - Street 1:10846 OLD MILL RD STE 2
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2652
Practice Address - Country:US
Practice Address - Phone:402-802-6709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)