# FLOURISH PSYCHOTHERAPY & NUTRITION, LLC

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

## Provider details

- **NPI number:** 1124508809
- **Authorized official:** CYNTHIA COLLEN LCSW-S (PSYCHOTHERAPIST)
- **Authorized official phone:** (512) 772-3611

## Contact information

- **Practice address:** 4361 S CONGRESS AVE UNIT 102, AUSTIN, TX 78745-1289
- **Practice address phone:** (512) 772-3611
- **Mailing address:** 4361 S CONGRESS AVE UNIT 102, AUSTIN, TX 78745-1289
- **Mailing address phone:** (512) 772-3611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 59793 | TX | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 08/21/2018
- **Last updated:** 02/13/2025
