MEDICARE: CHARLES FINCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	104100000X	Social Worker	GA
2	171M00000X	Case Manager/Care Coordinator	GA
3	101YP2500X	Professional Counselor	GA
4	101YM0800X	Mental Health Counselor	GA
5	101Y00000X	Counselor	GA

General Provider Information

NPI Number	:	1881522811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES FINCH

Provider Business Mailing Address
First Line	:	1660 PEACHTREE ST NW APT 4314
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2478
Country	:	US
Telephone Number	:	708-589-5770
Fax Number	:

Provider Business Practice Location Address
First Line	:	3485 N DESERT DR STE 110
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30344-5724
Country	:	US
Telephone Number	:	770-933-5328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ CHARLES FINCH ” Practice Location

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