Flourish Mental Wellness

LBN: Walker Therapy Llc
Flourish Mental Wellness is an health care organization with primary practice located at 1640 Lelia Dr Ste 120 , Jackson MS 39216-4873. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Walker Therapy Llc can be contacted via phone (601) 914-4492, or through Walker, Ian D via phone (601) 914-4492.

Contact Information

Primary practice address
1640 Lelia Dr Ste 120 Jackson MS 39216-4873
Phone: (601) 914-4492
Fax: (601) 914-6715
Website:
Map and Directions
Authorized official contact:
Name: Walker, Ian D MS, LPC, BC-TMH
Phone: (601) 914-4492

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1598406548
LBN Legal business name Walker Therapy Llc
DBA Doing business as Flourish Mental Wellness
Authorized official Walker, Ian D MS, LPC, BC-TMH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2022
Last updated Aug 17th, 2022 - 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 1598406548 NPPES
Mississippi MEDICAID 06285286

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