Provider Demographics
NPI:1831959709
Name:FLYNN, CHRISTOPHER ELLIOTT (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ELLIOTT
Last Name:FLYNN
Suffix:
Gender:M
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4938 HARVEST HILL RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-6519
Mailing Address - Country:US
Mailing Address - Phone:972-832-3048
Mailing Address - Fax:
Practice Address - Street 1:175 S RIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-5104
Practice Address - Country:US
Practice Address - Phone:469-833-2247
Practice Address - Fax:469-213-8263
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93733101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional