Provider Demographics
NPI:1003510140
Name:FRANCIS, CAROLINE JASMYN (LMHC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:JASMYN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 OCEAN AVE APT 6C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-4929
Mailing Address - Country:US
Mailing Address - Phone:818-825-5557
Mailing Address - Fax:
Practice Address - Street 1:699 OCEAN AVE APT 6C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-4929
Practice Address - Country:US
Practice Address - Phone:818-825-5557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013314101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health