Healthcare Provider Details

I. General information

NPI: 1720412687
Provider Name (Legal Business Name): HEATHER LAUREN FINLEY LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 08/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 BERNARD AVE
KNOXVILLE TN
37921-6253
US

IV. Provider business mailing address

626 BERNARD AVE
KNOXVILLE TN
37921-6253
US

V. Phone/Fax

Practice location:
  • Phone: 865-522-0161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberAMFT000245
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: