Healthcare Provider Details

I. General information

NPI: 1568120863
Provider Name (Legal Business Name): ELISE FINNEY M.ED., LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 ENTERPRISE PLACE SUITE 205
BEACHWOOD OH
44122
US

IV. Provider business mailing address

340 ENTERPRISE PLACE SUITE 205
BEACHWOOD OH
44122
US

V. Phone/Fax

Practice location:
  • Phone: 216-765-0500
  • Fax:
Mailing address:
  • Phone: 216-765-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2303888
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberC.2103740
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: