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

Edward Flynn

Individual provider Mental Health Counselor · NPI 1588088538

Edward Flynn is a Mental Health Counselor in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with Lakeside Behavioral Health LLC, a 2-clinician group. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014

Practice location Address checks out

5261 Delmar Blvd Ste 214
Saint Louis, MO 63108-1063
Phone: (314) 497-6617
Fax: (314) 454-5715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2014000915 (MO)

Record details

NPI number1588088538
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2014
Last updated in NPPESFebruary 11, 2014
Mailing address4024 Wyoming St, Saint Louis, MO 63116-3920

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lakeside Behavioral Health Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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