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Organization
FLOURISH HEALTH MEDICAL PRACTICE, LTD.
Active
Organization
FLOURISH HEALTH MEDICAL PRACTICE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HASKELL (PRESIDENT)
(650) 863-4774
Entity
Organization
Contact information
Practice address
470 OLDE WORTHINGTON RD STE 200, WESTERVILLE, OH 43082-9127
(910) 517-0097
Mailing address
5 FALCON NEST CT, DURHAM, NC 27713-8122
(650) 863-4774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
08/17/2023
Last updated
04/24/2025
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