Healthcare Provider Details

I. General information

NPI: 1548909336
Provider Name (Legal Business Name): SHEILA LANAY FLYNN M.ED, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 05/03/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N PINE AVE
LIVINGSTON TX
77351-2734
US

IV. Provider business mailing address

PO BOX 1335
LIVINGSTON TX
77351-0024
US

V. Phone/Fax

Practice location:
  • Phone: 512-537-9345
  • Fax: 936-286-3604
Mailing address:
  • Phone: 512-537-9345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number88857
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: