Healthcare Provider Details

I. General information

NPI: 1871019018
Provider Name (Legal Business Name): MAEGAN T FLANNERY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 OLD HENDERSON RD STE 100
COLUMBUS OH
43220-3623
US

IV. Provider business mailing address

1170 OLD HENDERSON RD STE 100
COLUMBUS OH
43220-3623
US

V. Phone/Fax

Practice location:
  • Phone: 614-442-7650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC1500683
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: