Provider Demographics
NPI:1851022719
Name:ASHLEY FLANAGAN, PLLC
Entity Type:Organization
Organization Name:ASHLEY FLANAGAN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-893-9516
Mailing Address - Street 1:909 SPRING BEACH WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-3061
Mailing Address - Country:US
Mailing Address - Phone:815-893-9516
Mailing Address - Fax:
Practice Address - Street 1:909 SPRING BEACH WAY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-3061
Practice Address - Country:US
Practice Address - Phone:815-893-9516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health