Provider Demographics
NPI:1841384328
Name:FINCH-SOPHIEA, ELISE (LMSW)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:
Last Name:FINCH-SOPHIEA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6887 DIXIE HWY STE A
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-5107
Mailing Address - Country:US
Mailing Address - Phone:248-620-1019
Mailing Address - Fax:248-620-1026
Practice Address - Street 1:6887 DIXIE HWY STE A
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-5107
Practice Address - Country:US
Practice Address - Phone:248-620-1019
Practice Address - Fax:248-620-1026
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010661651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical