Healthcare Provider Details

I. General information

NPI: 1134897101
Provider Name (Legal Business Name): BETTYE MICHELLE FINCH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 WATERSTONE CT
MONTEVALLO AL
35115-5711
US

IV. Provider business mailing address

224 WATERSTONE CT
MONTEVALLO AL
35115-5711
US

V. Phone/Fax

Practice location:
  • Phone: 205-356-8389
  • Fax:
Mailing address:
  • Phone: 205-356-8389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4205G
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: