Basic Information
| Provider Information | |||||||||
| NPI: | 1053956177 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINCH | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 135 SQUIRE CIR | ||||||||
| Address2: | |||||||||
| City: | LYNCHBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245011136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2404290977 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1047 VISTA PARK DR STE A | ||||||||
| Address2: | |||||||||
| City: | FOREST | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245514362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4346162388 | ||||||||
| FaxNumber: | 4346162344 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/12/2019 | ||||||||
| LastUpdateDate: | 11/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 0701008780 | VA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.