MEDICARE: MS. MARGERY FLENNER M.S, LMHC, EMDR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH12873	FL

General Provider Information

NPI Number	:	1154708394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGERY FLENNER M.S, LMHC, EMDR

Provider Business Mailing Address
First Line	:	5028 50TH WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7141
Country	:	US
Telephone Number	:	561-371-8551
Fax Number	:

Provider Business Practice Location Address
First Line	:	4362 NORTHLAKE BLVD.,
Second Line	:	SUITE 215
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6270
Country	:	US
Telephone Number	:	561-371-8551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2015
Last Update Date	:	03/12/2021

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