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Provider Information for 1457835563


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FRANCESCA THOMAS LMHC


Sex: Female

NPI: 1457835563
Last Updated: 2019-10-18
Certification Date:

Details

NameValue
NPI1457835563
Enumeration Date2018-09-24
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1361 VERONA ST
DAYTONA BEACH, FL 32114-5738
United States

Phone: 386-243-0774 | Fax:
 
Primary Practice Address 1220 WILLIS AVE
DAYTONA BEACH, FL 32114-2810
United States

Phone: 386-254-1233 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH15634