Provider Demographics
NPI:1174387039
Name:FLANAGAN, EMILY (T-LMHC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:T-LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 OAKCREST ST APT 19
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-3428
Mailing Address - Country:US
Mailing Address - Phone:712-210-4927
Mailing Address - Fax:
Practice Address - Street 1:915 OAKCREST ST APT 19
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-3428
Practice Address - Country:US
Practice Address - Phone:712-210-4927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA124338101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health