Healthcare Provider Details

I. General information

NPI: 1124275540
Provider Name (Legal Business Name): ANN CHRISTINE FINLEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 MAITLAND CENTER COMMONS BLVD #212
MAITLAND FL
32751-7270
US

IV. Provider business mailing address

1009 MAITLAND CENTER COMMONS BLVD #212
MAITLAND FL
32751-7270
US

V. Phone/Fax

Practice location:
  • Phone: 407-636-3532
  • Fax: 321-256-5292
Mailing address:
  • Phone: 407-636-3532
  • Fax: 321-256-5292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH11900
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: