Flourish Bainbridge LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FLOURISH BAINBRIDGE LLC

Practice address

102 N Broad St
Bainbridge, GA 39817-3602

Phone

(229) 416-4737

Fax

(229) 416-4738

NPI assigned

Jul 21, 2023

Last updated

Jul 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bethany McElyeaNPI 1619291523

Title

Owner, Managing Director

Phone

(229) 416-4737

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bethany Breckenridge McElyea, LPC

  • Professional Counselor
  • Bainbridge, GA
  • NPI 1619291523
  NPD Authorized official
• Kathryn Culverson Coe, LPC

  • Professional Counselor
  • Bainbridge, GA
  • NPI 1184303349
  NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1821778044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N BROAD ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398173602",
            "telephone_number": "229-416-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N BROAD ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398173602",
            "telephone_number": "229-416-4737",
            "fax_number": "229-416-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH BAINBRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "MCELYEA",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER, MANAGING DIRECTOR",
        "authorized_official_telephone_number": "229-416-4737"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Knight Ferguson, DPT
• Tina Fleming, CPCS, LPC, CRC
• Samantha Fletcher, FNP-BC
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• Deborah Flowers, FNP:C
• Frank Grayson Flowers, OD
• January Michelle Floyd, FNP-C
• Peggy Brennan Fordham, RPH

• Professional Counselor in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.