PC PC MB2 LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PC PC MB2 LLC

Doing business as

Epic Flourish

Practice address

6750 N Andrews Ave # 2147
Fort Lauderdale, FL 33309-2173

Phone

(954) 951-2936

NPI assigned

Jan 8, 2025

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Blake-Edwards, LMHCNPI 1982958385

Title

Manager

Phone

(954) 951-2936

Specialties & licenses 1

Addresses

Other names 1

• Epic Flourish Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Blake-Edwards, M.S., LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1982958385
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1053121558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 N ANDREWS AVE # 2147",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N ANDREWS AVE # 2147",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092173",
            "telephone_number": "954-951-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC PC MB2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BLAKE-EDWARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-951-2936",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Flourish",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hrvoje Pavicic, ARNP
• Martha Pawlicki
• Cicily Payne, D.C.
• Rubi Terry Payne
• Kevin Lynn Payton, D.D.S.
• PDP MD, LLC
• Peaceful Projections LLC
• Broncia Branan Peacock, RPH
• Twanna Pearce, PH.D.
• Winston Hayes Pearce

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.