Organization Active NPI

Flourish Psychotherapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
National Provider Identifier
1619605953
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FLOURISH PSYCHOTHERAPY SERVICES, LLC
Practice address
1260 Dauphin St Ste 111
Mobile, AL 36604-2546
Phone
(251) 554-2075
NPI assigned
Aug 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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

Authorized official

Name
Ms. Mary Barrett Smith, MSW, LICSW-PIPNPI 1033575485
Title
Employee
Phone
(251) 554-2075

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1260 Dauphin St Ste 111
Mobile, AL 36604-2546

Mailing address

11910 Jesse Jackson Dr
Mobile, AL 36608-9020
Phone (251) 554-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250922001000 AL Part B Supplier - Clinic/Group Practice 8224532247 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

1260 Dauphin St
Ste 111
Mobile, AL 36604
Phone (251) 554-2075

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": "1660435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1619605953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 JESSE JACKSON DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089020",
            "telephone_number": "251-554-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 DAUPHIN ST STE 111",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042546",
            "telephone_number": "251-554-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "251-554-2075",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW-PIP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.