Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J Flack PSYD PC

Organization Counselor · NPI 1770859001

J Flack PSYD PC is a Counselor in Fenton, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

127 N River St
Fenton, MI 48430-3800
Phone: (810) 309-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301014240 (MI)
Counselor Taxonomy 101Y00000X · Licence 6401006094 (MI)
Social Worker Taxonomy 104100000X · Licence 6801006671 (MI)

Record details

NPI number1770859001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Flack — President · (810) 309-9355
Other names Fenton Wellness
NPI enumeratedMarch 30, 2012
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address127 N River St, Fenton, MI 48430-3800

Other providers in Fenton