Healthcare Provider Details

I. General information

NPI: 1699363416
Provider Name (Legal Business Name): CHRISTINE NECOLE FLYNN MS, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 COLISEUM BLVD
MONTGOMERY AL
36109-2708
US

IV. Provider business mailing address

4360 HAGAN RD
MONTGOMERY AL
36109-3135
US

V. Phone/Fax

Practice location:
  • Phone: 334-279-7830
  • Fax:
Mailing address:
  • Phone: 334-669-4015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC04737
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: