Elaine Flynn-York, LCSW

Individual provider Active NPI Mental Health Counselor · Amston, CT

NPI 1780108183 · NPPES record last updated Jul 28, 2017

Key facts

NPI
1780108183
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
004970 (CT)
Practice address
411 Burrows Hill Rd
Amston, CT 06231-1230
Phone
(860) 918-3628
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
004970CTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004970 CT Yes

Addresses

Primary practice location

411 Burrows Hill Rd
Amston, CT 06231-1230

Mailing address

411 Burrows Hill Rd
Amston, CT 06231-1230

Other names

  • Mrs. Elaine Hannifan Former name

Other providers in Amston, CT

All providers in Amston, CT · Mental Health Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.