Flourishing Life Youth & Family Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FLOURISHING LIFE YOUTH & FAMILY SERVICES, LLC

Practice address

309 Patriots Walke Dr
Suffolk, VA 23434-2366

Phone

(757) 339-3772

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda Epps

Title

Ceo/Executive Director

Phone

(757) 339-3772

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1205561024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PATRIOTS WALKE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342366",
            "telephone_number": "757-339-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PATRIOTS WALKE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342366",
            "telephone_number": "757-339-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISHING LIFE YOUTH & FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-339-3772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3727-05-001",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "flyfs.camdian.com",
            "affiliation": "N",
            "address_1": "309 Patriots Walke Dr",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234342366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joan Go Fitzharris, M.D.
• Teresa Fitzpatrick, OT
• Crystal Aswell Fitzwater, DPT
• Glennett Fleming, LCSW
• Travis Flood
• Angela C Flynn, PTA
• Denise Flythe Townes
• Foot Care of Hampton Roadspc
• Forefront Dermatology, S.C.
• Jeffrey David Forman, MD

• Community/Behavioral Health Agency in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.