Organization
FLOURISH MEDICAL AND BEHAVIORAL HEALTH GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA TYONNE BEAN (OWNER)
(773) 627-8748
Entity
Organization
Contact information
Practice address
902 S COLLEGE RD STE 906, WILMINGTON, NC 28403-4412
(910) 508-9885
Mailing address
PO BOX 10713, WILMINGTON, NC 28404-0713
(910) 508-9885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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