Healthcare Provider Details

I. General information

NPI: 1174041024
Provider Name (Legal Business Name): AMY MARIE FINLAYSON MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 OLD PECOS TRL STE A
SANTA FE NM
87505-4759
US

IV. Provider business mailing address

2200 CAMINO DE LOS ARTESANOS NW
ALBUQUERQUE NM
87107-2904
US

V. Phone/Fax

Practice location:
  • Phone: 505-820-0477
  • Fax:
Mailing address:
  • Phone: 505-204-5288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0170981
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCCMH0187841
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: