Provider Demographics
NPI:1649480815
Name:FINCH, WYNDI YAWN (MS, LMHC, MH20788)
Entity type:Individual
Prefix:MS
First Name:WYNDI
Middle Name:YAWN
Last Name:FINCH
Suffix:
Gender:F
Credentials:MS, LMHC, MH20788
Other - Prefix:
Other - First Name:WYNDI
Other - Middle Name:HAMM
Other - Last Name:FINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:3733 BAY TREE RD
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444
Mailing Address - Country:US
Mailing Address - Phone:850-844-1018
Mailing Address - Fax:850-522-4471
Practice Address - Street 1:525 EAST 15TH STREET
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405
Practice Address - Country:US
Practice Address - Phone:850-522-4485
Practice Address - Fax:850-522-4471
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20788101YM0800X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL766644600Medicaid
FL014265700Medicaid