| Flourish Family Counseling, Inc. | |
|
28693 Old Town Front St Ste 300 Temecula CA 92590-2789 | |
| (951) 249-3426 | |
| Not Available |
| Full Name | Flourish Family Counseling, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 28693 Old Town Front St Ste 300, Temecula, California |
| Authorized Official Name and Position | Jackie Smith (INSURANCE SPECIALIST) |
| Authorized Official Contact | 9512493644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Family Counseling, Inc. 28693 Old Town Front St Ste 300 Temecula CA 92590-2789 Ph: () - | Flourish Family Counseling, Inc. 28693 Old Town Front St Ste 300 Temecula CA 92590-2789 Ph: (951) 249-3426 |
| NPI Number | 1598382988 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Medicare PECOS PAC ID | 2062804552 |
|---|---|
| Medicare Enrollment ID | O20220112002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598382988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Linda Rene Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831460468 PECOS PAC ID: 0042696387 Enrollment ID: I20221010002942 |
| Provider Name | Carla M. E. Santana |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528245313 PECOS PAC ID: 0345691812 Enrollment ID: I20240109002467 |
| Provider Name | Christine Jennifer Kortenhoeven |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497248231 PECOS PAC ID: 8325430812 Enrollment ID: I20240129000813 |
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