Provider Demographics
NPI:1588816375
Name:FLYNN, MARGARET COLMORE (MED, LPC-MHSP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:COLMORE
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MED, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 N MOUNT JULIET RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-8318
Mailing Address - Country:US
Mailing Address - Phone:615-419-1262
Mailing Address - Fax:
Practice Address - Street 1:547 N MOUNT JULIET RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-8318
Practice Address - Country:US
Practice Address - Phone:615-419-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TN3013101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor