Provider Demographics
NPI:1093572323
Name:FLANNERY, SHELBY (LCMHC)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:FLANNERY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SARANAC ST STE 158
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-4088
Mailing Address - Country:US
Mailing Address - Phone:978-846-4073
Mailing Address - Fax:
Practice Address - Street 1:111 SARANAC ST STE 158
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4088
Practice Address - Country:US
Practice Address - Phone:978-846-4073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2815101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health