Provider Demographics
NPI:1477815629
Name:FINCKE, RICHARD LOUIS SR (LMHC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LOUIS
Last Name:FINCKE
Suffix:SR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 ROWAN RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-3400
Mailing Address - Country:US
Mailing Address - Phone:727-271-3872
Mailing Address - Fax:
Practice Address - Street 1:6320 ROWAN RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-3400
Practice Address - Country:US
Practice Address - Phone:727-271-3872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 12746101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH 12746OtherDEPARTMENT OF HEALTH