Organization Active NPI

Flourish Wellness

  • Clinic/Center
  • Tulsa, OK
National Provider Identifier
1720862469
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FLOURISH WELLNESS
Practice address
2139 E 21St St
Tulsa, OK 74114-1409
Phone
(918) 520-3199
Fax
(918) 942-9423
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Gabrielle Emory, LPC, CEDS
Title
Owner and LPC
Phone
(918) 520-3199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2139 E 21St St
Tulsa, OK 74114-1409

Mailing address

2139 E 21St St
Tulsa, OK 74114-1409
Phone (918) 520-3199

National Provider Directory

National Provider Directory

Locations

2139 E 21st St
Tulsa, OK 74114
Phone (918) 520-3199

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": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1720862469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141409",
            "telephone_number": "918-520-3199",
            "fax_number": "918-942-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141409",
            "telephone_number": "918-520-3199",
            "fax_number": "918-942-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "EMORY",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER AND LPC",
        "authorized_official_telephone_number": "918-520-3199",
        "authorized_official_credential": "LPC, CEDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.