Healthcare Provider Details

I. General information

NPI: 1336904184
Provider Name (Legal Business Name): ELIZABETH FLYNN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BETH FLYNN LPC

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOUNT LEBANON BLVD STE 210B
PITTSBURGH PA
15234-1507
US

IV. Provider business mailing address

654 ARDEN LN
PITTSBURGH PA
15243-1132
US

V. Phone/Fax

Practice location:
  • Phone: 412-440-7550
  • Fax:
Mailing address:
  • Phone: 412-425-4443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016874
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: