Provider Demographics
NPI:1447907829
Name:FLOURISH COUNSELING & CONSULTING LCSW PLLC
Entity type:Organization
Organization Name:FLOURISH COUNSELING & CONSULTING LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-795-4231
Mailing Address - Street 1:63 NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-1321
Mailing Address - Country:US
Mailing Address - Phone:315-795-4321
Mailing Address - Fax:315-533-4377
Practice Address - Street 1:63 NORTON AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-1321
Practice Address - Country:US
Practice Address - Phone:315-795-4321
Practice Address - Fax:315-533-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty