Provider Demographics
NPI:1083924393
Name:FLYNN, JULIA ANNE (LPC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANNE
Last Name:FLYNN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANNE
Other - Last Name:SNIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:541 WARWICK LN
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-4224
Mailing Address - Country:US
Mailing Address - Phone:913-307-6789
Mailing Address - Fax:
Practice Address - Street 1:541 WARWICK LN
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-4224
Practice Address - Country:US
Practice Address - Phone:913-307-6789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008003017101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional