Provider Demographics
NPI:1972384238
Name:FLYNT, ANN MUELLER (LPC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MUELLER
Last Name:FLYNT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 BERG DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25302-4456
Mailing Address - Country:US
Mailing Address - Phone:304-993-3727
Mailing Address - Fax:
Practice Address - Street 1:1113B JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-9780
Practice Address - Country:US
Practice Address - Phone:304-993-3727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2852101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional