Provider Demographics
NPI:1285674648
Name:FLANINGAM, ANN M (MS, LMFT, LMHC, LSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:M
Last Name:FLANINGAM
Suffix:
Gender:F
Credentials:MS, LMFT, LMHC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W HORTON ST
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:IN
Mailing Address - Zip Code:46714-3607
Mailing Address - Country:US
Mailing Address - Phone:260-824-1824
Mailing Address - Fax:260-824-7243
Practice Address - Street 1:100 W HORTON ST
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:IN
Practice Address - Zip Code:46714-3607
Practice Address - Country:US
Practice Address - Phone:260-824-1824
Practice Address - Fax:260-824-7243
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000707A101YM0800X
IN33001536A104100000X
IN35000750A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist