Healthcare Provider Details

I. General information

NPI: 1336657923
Provider Name (Legal Business Name): LAUREN ELIZABETH FLYNN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 IRMA AVE
ORLANDO FL
32803-3853
US

IV. Provider business mailing address

3749 BRANDY ST
ORLANDO FL
32812-5124
US

V. Phone/Fax

Practice location:
  • Phone: 407-536-9615
  • Fax:
Mailing address:
  • Phone: 407-536-9615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH23908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: