Healthcare Provider Details

I. General information

NPI: 1619351483
Provider Name (Legal Business Name): JEFFREY SHIRL FINCH LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2015
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 MUSTANG RD
HELENA MT
59602-7536
US

IV. Provider business mailing address

1395 MUSTANG RD
HELENA MT
59602-7536
US

V. Phone/Fax

Practice location:
  • Phone: 406-475-2857
  • Fax:
Mailing address:
  • Phone: 801-857-9137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCSW-LIC-55520
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCSW-1630
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7753052-3501
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-37858
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: