Healthcare Provider Details

I. General information

NPI: 1992679708
Provider Name (Legal Business Name): FLYNN COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5120 VILLAGE SQUARE DR STE 101
PADUCAH KY
42001-9560
US

IV. Provider business mailing address

5120 VILLAGE SQUARE DR STE 101
PADUCAH KY
42001-9560
US

V. Phone/Fax

Practice location:
  • Phone: 270-538-0851
  • Fax: 270-538-0852
Mailing address:
  • Phone: 270-970-1071
  • Fax: 270-538-0852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JILL FLYNN
Title or Position: OWNER
Credential: MSW
Phone: 270-970-1071