Jennifer Flack

LBN: Fenton Wellness
Jennifer Flack is an health care organization with primary practice located at 127 N River St , Fenton MI 48430-3800. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Fenton Wellness can be contacted via phone (810) 309-9355, or through Flack, Jennifer Lenore via phone (810) 309-9355.

Contact Information

Primary practice address
127 N River St Fenton MI 48430-3800
Phone: (810) 309-9355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Flack, Jennifer Lenore PSY.D.
Phone: (810) 309-9355

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401006094 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301014240 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301005725 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301002268 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801006671 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801019131 Michigan

Profile Details

NPI number 1386964278
LBN Legal business name Fenton Wellness
DBA Doing business as Jennifer Flack
Authorized official Flack, Jennifer Lenore PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2010
Last updated Jul 19th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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