MEDICARE: MR. RICHARD LOUIS FINCKE SR. LMHC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 12746	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MH 12746	OTHER	FL	DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1477815629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD LOUIS FINCKE SR. LMHC

Provider Business Mailing Address
First Line	:	6320 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-3400
Country	:	US
Telephone Number	:	727-271-3872
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-3400
Country	:	US
Telephone Number	:	727-271-3872
Fax Number	:

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

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	12/29/2016

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