Provider Demographics
NPI:1346729134
Name:FLAHERTY COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:FLAHERTY COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNSEY
Authorized Official - Middle Name:VANGHEL
Authorized Official - Last Name:FLAHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:203-258-2571
Mailing Address - Street 1:88 COTTSWOLD LN
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-7053
Mailing Address - Country:US
Mailing Address - Phone:203-258-2571
Mailing Address - Fax:910-436-5343
Practice Address - Street 1:810 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-2140
Practice Address - Country:US
Practice Address - Phone:910-916-7881
Practice Address - Fax:910-436-5343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty