Healthcare Provider Details

I. General information

NPI: 1508775800
Provider Name (Legal Business Name): MOLLY ANN FLANAGAN PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 S BEMISTON AVE STE 1006
SAINT LOUIS MO
63105-1907
US

IV. Provider business mailing address

830 DEER CREEK RD
O FALLON IL
62269-4206
US

V. Phone/Fax

Practice location:
  • Phone: 314-925-2634
  • Fax:
Mailing address:
  • Phone: 314-488-6041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026032208
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: