NPIMap

Organization Active NPI

Flourish Trauma and Behavior Centers, LLC

  • Mental Health Counselor
  • North Las Vegas, NV
National Provider Identifier
1821598053
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FLOURISH TRAUMA AND BEHAVIOR CENTERS, LLC
Practice address
5135 Camino Al Norte Ste 267
North Las Vegas, NV 89031-2419
Phone
(702) 805-0254
Fax
(702) 979-1352
NPI assigned
Feb 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Linda C Abrams
Title
Director/Owner
Phone
(702) 805-0254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5135 Camino Al Norte Ste 267
North Las Vegas, NV 89031-2419

Mailing address

5135 Camino Al Norte Ste 267
North Las Vegas, NV 89031-2419
Phone (702) 805-0254

Other identifiers 1

IdentifierTypeStateIssuer
1518312180MedicaidNV

Other names 1

  • Flourish Trauma and Behavior Centers Doing business as

National Provider Directory

National Provider Directory

Locations

5135 Camino Al Norte
Ste 267
North Las Vegas, NV 89031
Phone (702) 805-0254

Practitioners & affiliated clinicians

Practitioners 4

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": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1821598053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 267",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312419",
            "telephone_number": "702-805-0254",
            "fax_number": "702-979-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 267",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312419",
            "telephone_number": "702-805-0254",
            "fax_number": "702-979-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH TRAUMA AND BEHAVIOR CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "702-805-0254"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518312180",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flourish Trauma and Behavior Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.