Provider Demographics
NPI:1003263914
Name:FLOURISHING MINDS LLC
Entity type:Organization
Organization Name:FLOURISHING MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIKKI
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-322-7935
Mailing Address - Street 1:691 JOHN WESLEY DOBBS AVE NE UNIT C
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1669
Mailing Address - Country:US
Mailing Address - Phone:678-208-4885
Mailing Address - Fax:678-922-2149
Practice Address - Street 1:691 JOHN WESLEY DOBBS AVE NE UNIT C
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1669
Practice Address - Country:US
Practice Address - Phone:678-208-4885
Practice Address - Fax:678-922-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW005758251S00000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health