Provider Demographics
NPI:1598211609
Name:FINCH, LAURA LUCKIE (LPC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LUCKIE
Last Name:FINCH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OFFICE PARK CIR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2511
Mailing Address - Country:US
Mailing Address - Phone:205-490-1175
Mailing Address - Fax:
Practice Address - Street 1:4 OFFICE PARK CIR
Practice Address - Street 2:SUITE 203
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2511
Practice Address - Country:US
Practice Address - Phone:205-490-1175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2215101YP2500X
TN2113101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional