Organization Active NPI

Flourish Counseling and Wellness

  • Mental Health Counselor
  • Snellville, GA
National Provider Identifier
1396320180
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FLOURISH COUNSELING AND WELLNESS
Practice address
2483 Heritage VLG Ste 16-139
Snellville, GA 30078-6140
Phone
(470) 709-2792
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Ms. Bernesha Parks, ED.S, LPCNPI 1851769947
Title
Owner
Phone
(404) 694-5626

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

2483 Heritage VLG Ste 16-139
Snellville, GA 30078-6140

Mailing address

2483 Heritage VLG Ste 16-139
Snellville, GA 30078-6140
Phone (470) 709-2792

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": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1396320180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 HERITAGE VLG STE 16-139",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786140",
            "telephone_number": "470-709-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 HERITAGE VLG STE 16-139",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786140",
            "telephone_number": "470-709-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "BERNESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-694-5626",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ED.S, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.