=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538611009
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VECC & ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/31/2016
-----------------------------------------------------
Last Update Date | 12/05/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7401 WILES RD
-----------------------------------------------------
City | CORAL SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33067-2036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-350-1599
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7401 WILES RD
-----------------------------------------------------
City | CORAL SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33067-2036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-350-1599
-----------------------------------------------------
Fax | 954-509-3730
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS OWNER
-----------------------------------------------------
Name | DR. MICHELE ANN FINNERAN
-----------------------------------------------------
Credential | LMHC, PHD
-----------------------------------------------------
Telephone | 561-350-1599
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 9138
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------