Organization Active NPI

Flourish Psychiatry & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1114740982
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FLOURISH PSYCHIATRY & WELLNESS
Practice address
454 Krams Ave
Philadelphia, PA 19128-3310
Phone
(267) 307-2276
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Dr. Lisa Marie Harrelson, DNP CRNP PMHNP FNPNPI 1013636729
Title
Owner, Founder, CRNP
Phone
(267) 307-2276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

454 Krams Ave
Philadelphia, PA 19128-3310

Mailing address

454 Krams Ave
Philadelphia, PA 19128-3310
Phone (267) 307-2276

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1114740982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 KRAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283310",
            "telephone_number": "267-307-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 KRAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283310",
            "telephone_number": "267-307-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH PSYCHIATRY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, FOUNDER, CRNP",
        "authorized_official_telephone_number": "267-307-2276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP CRNP PMHNP FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.