Organization
FLOURISHING LIFE COUNSELING
Active
Other names
FLC.LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTI JOHNSON LCPC (THERAPIST/COUNSELING MENTAL HEALTH)
(208) 867-6551
Entity
Organization
Contact information
Practice address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 366-1607
(208) 366-1602
Mailing address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 366-1607
(208) 366-1602
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982041430
—
ID
Enumeration date
03/21/2022
Last updated
03/21/2022
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