Healthcare Provider Details

I. General information

NPI: 1831817659
Provider Name (Legal Business Name): LEAH FINCH LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEAH YEOMANS

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 1ST AVE APT 6
NEW YORK NY
10009-7989
US

IV. Provider business mailing address

16 1ST AVE APT 6
NEW YORK NY
10009-7989
US

V. Phone/Fax

Practice location:
  • Phone: 980-263-9823
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number012496
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: