Organization
FLOURISH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY NICHOLE PETRICK LCSW (OWNER/THERAPIST)
(208) 755-1641
Entity
Organization
Contact information
Practice address
13403 N GOVERNMENT WAY STE 319, HAYDEN, ID 83835-8905
(208) 755-1641
Mailing address
13403 N GOVERNMENT WAY STE 319, HAYDEN, ID 83835-8905
(208) 755-1641
(208) 625-2054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
N/A
ID
Enumeration date
03/29/2021
Last updated
12/20/2022
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