Provider Demographics
NPI:1508185224
Name:FINNERAN, MICHELE ANN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:ANN
Last Name:FINNERAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4571 CARAMBOLA CIR S
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2914
Mailing Address - Country:US
Mailing Address - Phone:561-350-1599
Mailing Address - Fax:
Practice Address - Street 1:4571 CARAMBOLA CIR S
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066-2914
Practice Address - Country:US
Practice Address - Phone:561-350-1599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC 9138101YM0800X, 106H00000X
FL101YP1600X101YM0800X
FL9138101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2746811013OtherAETNA
FL$$$$$$$$$OtherBLUE CROSS AND BLUE SHIELDS
FL2746811013OtherAETNA
FL$$$$$$$$$OtherUNITED HEALTH CARE