Organization Active NPI

Flourish Wellness Center, LLC

  • Clinical Social Worker
  • Vestavia Hills, AL
National Provider Identifier
1134717507
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FLOURISH WELLNESS CENTER, LLC
Doing business as
Flourish Wellness Center, LLC
Practice address
3100 Lorna Rd Ste 211
Vestavia Hills, AL 35216-5451
Phone
(205) 983-4450
Fax
(205) 449-7782
NPI assigned
Jan 1, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Mrs. Ashley Harris Underwood, LCSWNPI 1245524883
Title
Provider/ Owner
Phone
(205) 983-4450

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counseling Psychologist 103TC1900X
Clinical Social Worker 1041C0700X Primary
Marriage & Family Therapist 106H00000X
Child Abuse Pediatrics Physician 2080C0008X

Addresses

Primary practice location

3100 Lorna Rd Ste 211
Vestavia Hills, AL 35216-5451

Mailing address

3100 Lorna Rd Ste 211
Vestavia Hills, AL 35216-5451
Phone (205) 983-4450

Other names 1

  • Flourish Wellness Center, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice Direct

National Provider Directory

National Provider Directory

Locations

3100 Lorna Rd
Ste 211
Hoover, AL 35216
Phone (205) 983-4450

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1134717507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 LORNA RD STE 211",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165451",
            "telephone_number": "205-983-4450",
            "fax_number": "205-449-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 LORNA RD STE 211",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165451",
            "telephone_number": "205-983-4450",
            "fax_number": "205-449-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PROVIDER/ OWNER",
        "authorized_official_telephone_number": "205-983-4450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "SimplePractice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SimplePractice",
            "address_1": "3100 Lorna Rd Ste 211",
            "city": "Vestavia Hills",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352165451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Flourish Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flourish Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.