Provider Demographics
NPI:1235247206
Name:FLINT, DENISE M (LPCC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:FLINT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2572 COUNTY ROAD 16
Mailing Address - Street 2:
Mailing Address - City:RAYLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43943-7744
Mailing Address - Country:US
Mailing Address - Phone:740-859-6369
Mailing Address - Fax:740-695-4607
Practice Address - Street 1:104 S SUGAR ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1522
Practice Address - Country:US
Practice Address - Phone:740-695-4605
Practice Address - Fax:740-695-4607
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS-0017796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHY273848OtherTHE HEALTH PLAN