Individual
MIA FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6351004831
MI
101YP2500X
Professional Counselor
Primary
6351004831
MI
Other
Enumeration date
06/14/2025
Last updated
09/16/2025
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