Provider Demographics
NPI:1548909336
Name:FLYNN, SHEILA LANAY (MED, NCC, LPC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:LANAY
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1335
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-0024
Mailing Address - Country:US
Mailing Address - Phone:512-537-9345
Mailing Address - Fax:
Practice Address - Street 1:505 N PINE AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-2734
Practice Address - Country:US
Practice Address - Phone:512-537-9345
Practice Address - Fax:936-286-3604
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88857101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88857OtherLICENSED PROFESSIONAL COUNSELOR
TX88857Medicaid