MEDICARE: THE ALLIED COLLECTIVE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1558228817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ALLIED COLLECTIVE, LLC

Provider Business Mailing Address
First Line	:	5800 VINTAGE OAK LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-6406
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 VINTAGE OAK LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-6406
Country	:	US
Telephone Number	:	610-639-1622
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	SAMANTHA GRACE FLYNN
Credential	:	MSW, LCSW
Telephone Number	:	610-639-1622

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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