Healthcare Provider Details

I. General information

NPI: 1861679714
Provider Name (Legal Business Name): MARY ELIZABETH FINDLAY MS LPC LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 ANDERSON AVENUE ST CLOUD HOSPITAL RECOVERY PLUS
ST CLOUD MN
56303
US

IV. Provider business mailing address

1406 6TH AVENUE NORTH ST CLOUD HOSPITAL
ST CLOUD MN
56303-1901
US

V. Phone/Fax

Practice location:
  • Phone: 320-229-3761
  • Fax: 320-229-3763
Mailing address:
  • Phone: 320-251-2700
  • Fax: 320-255-5806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number302165LADC
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number00314LPC
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: