Provider Demographics
NPI:1457157679
Name:FLINN, BETH A (MA, LPC)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:FLINN
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 DARBY LN
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-2905
Mailing Address - Country:US
Mailing Address - Phone:713-208-0406
Mailing Address - Fax:
Practice Address - Street 1:7611 MAPLE ST STE 3A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5092
Practice Address - Country:US
Practice Address - Phone:713-208-0406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional