Nourish2Flourish Psychology, Llc

LBN: Nourish2Flourish Psychology, Llc
Nourish2Flourish Psychology, Llc is an health care organization with primary practice located at 120 W 7Th St , Bloomington IN 47404. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Nourish2Flourish Psychology, Llc can be contacted via phone (812) 929-4593, or through Roth, Amanda via phone (812) 929-4593.

Contact Information

Primary practice address
120 W 7Th St Bloomington IN 47404
Phone: (812) 929-4593
Fax: (812) 961-6551
Website:
Map and Directions
Authorized official contact:
Name: Roth, Amanda PSY.D.
Phone: (812) 929-4593

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1053067124
LBN Legal business name Nourish2Flourish Psychology, Llc
DBA Doing business as
Authorized official Roth, Amanda PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2022
Last updated May 25th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053067124 NPPES
Indiana Other 1588334171 PSYCHOLOGIST

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