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Organization
FLOURISH WELLNESS COLLABORATIVE
Active
Organization
FLOURISH WELLNESS COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE WILLIAMS (EXECUTIVE DIRECTOR)
(952) 405-9601
Entity
Organization
Contact information
Practice address
12400 PORTLAND AVE STE 180, BURNSVILLE, MN 55337-6875
(952) 405-9601
(952) 405-9571
Mailing address
12400 PORTLAND AVE STE 180, BURNSVILLE, MN 55337-6875
(952) 405-9601
(952) 405-9571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
103T00000X
Psychologist
—
NULL
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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