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Provider Information for 1548909336


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SHEILA LANAY FLYNN M.Ed, NCC, LPC


Sex: Female

NPI: 1548909336
Last Updated: 2024-10-14
Certification Date: 2024-10-14

Details

NameValue
NPI1548909336
Enumeration Date2022-06-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 1335
LIVINGSTON, TX 77351-0024
United States

Phone: 512-537-9345 | Fax:
 
Primary Practice Address 109 W ABBEY ST STE 300
LIVINGSTON, TX 77351-4477
United States

Phone: 512-537-9345 | Fax:936-286-3604
 
Secondary Practice Address(es)

852 STUTTS HILL RD
LIVINGSTON, TX 77351-1046
United States

Phone: 512-537-9345 | Fax:936-286-3604
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)TX88857Licensed Professional Counselor
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
101YP2500X - Counselor - Professional
TX88857