# FLOURISHING MINDS THERAPY AND COACHING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023833845
- **Authorized official:** TIFFANY KAELIN LMFT (OWNER/LMFT)
- **Authorized official phone:** (203) 751-1188

## Contact information

- **Practice address:** 650 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4238
- **Practice address phone:** (401) 684-0529
- **Practice address fax:** (401) 247-8379
- **Mailing address:** 207 BROADWAY APT 201, NEWPORT, RI 02840-2610
- **Mailing address phone:** (203) 751-1188
- **Mailing address fax:** (401) 247-8379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 11/18/2024