Provider Demographics
NPI:1366115438
Name:FLOURISH THERAPEUTICS LLC
Entity type:Organization
Organization Name:FLOURISH THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-908-6728
Mailing Address - Street 1:19 JULIAN DR
Mailing Address - Street 2:
Mailing Address - City:PRESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06365-8002
Mailing Address - Country:US
Mailing Address - Phone:860-908-6728
Mailing Address - Fax:
Practice Address - Street 1:116 SACHEM ST STE 1
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-4112
Practice Address - Country:US
Practice Address - Phone:860-337-9238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty