Healthcare Provider Details

I. General information

NPI: 1437076965
Provider Name (Legal Business Name): CHRISTINE MARIE FLAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 E MAIN ST STE 1AAND2A
MOORESTOWN NJ
08057-3068
US

IV. Provider business mailing address

714 E MAIN ST SUITE 1A & 2A
MOORESTOWN NJ
08057-3068
US

V. Phone/Fax

Practice location:
  • Phone: 215-821-7283
  • Fax:
Mailing address:
  • Phone: 215-821-7283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00795600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: