# FLOURISH HEALTH MEDICAL PRACTICE, LTD.

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

## Provider details

- **NPI number:** 1669255170
- **Authorized official:** JOHN HASKELL (PRESIDENT)
- **Authorized official phone:** (650) 863-4774

## Contact information

- **Practice address:** 470 OLDE WORTHINGTON RD STE 200, WESTERVILLE, OH 43082-9127
- **Practice address phone:** (910) 517-0097
- **Mailing address:** 5 FALCON NEST CT, DURHAM, NC 27713-8122
- **Mailing address phone:** (650) 863-4774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 04/24/2025