Doctor Name: | MEGHAN FLYNT |
NPI Number: | 1952761371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2059 |
Business Practice Address: | 819 Central Ave Bay St Louis, MS - 395203913 |
Business Phone Number: | 2284671881 |
Business Fax Number: | 2284664359 |
Mailing Address: | 1600 Broad Ave, GULFPORT |
State: | MS |
Postal Code: | 395013603 |
Phone Number: | 2284671881 |
Fax Number: | 2284664953 |
NPI Enumeration Date: | 02/26/2016 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |