Organization
FLOURISHING LIFE YOUTH & FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA EPPS (CEO/EXECUTIVE DIRECTOR)
(757) 339-3772
Entity
Organization
Contact information
Practice address
309 PATRIOTS WALKE DR, SUFFOLK, VA 23434-2366
(757) 339-3772
Mailing address
309 PATRIOTS WALKE DR, SUFFOLK, VA 23434-2366
(757) 339-3772
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3727-05-001
—
VA
Enumeration date
07/18/2022
Last updated
07/18/2022
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