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
Certification Date: 2024-10-14
Details
Name | Value | ||||||||
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NPI | 1548909336 | ||||||||
Enumeration Date | 2022-06-01 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
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 | ||||||||
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