MEDICARE: SHANITRA FINLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	171400000X	Health & Wellness Coach
3	251B00000X	Case Management Agency
4	251S00000X	Community/Behavioral Health Agency
5	261QA0600X	Adult Day Care Clinic/Center
6	261QC1500X	Community Health Clinic/Center
7	261QF0050X	Non-Surgical Family Planning Clinic/Center
8	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
9	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1124768502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANITRA FINLEY

Provider Business Mailing Address
First Line	:	231 LINDA BLVD
Second Line	:
City	:	YAZOO CITY
State	:	MS
Zip	:	39194-5138
Country	:	US
Telephone Number	:	662-532-8550
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 LINDA BLVD
Second Line	:
City	:	YAZOO CITY
State	:	MS
Zip	:	39194-5138
Country	:	US
Telephone Number	:	662-532-8550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	03/31/2022

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Directions to “ SHANITRA FINLEY ” Practice Location

Language	Start Address	Practice Location

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