Edward Flynn
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 214Saint Louis, MO 63108-1063
Phone: (314) 497-6617
Fax: (314) 454-5715
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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 number | 1588088538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 11, 2014 |
| Last updated in NPPES | February 11, 2014 |
| Mailing address | 4024 Wyoming St, Saint Louis, MO 63116-3920 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Lakeside Behavioral Health Llc — 2 clinicians |
| Accepts Medicare assignment | Not indicated |
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