Provider Demographics
NPI:1033593603
Name:FRANCIS, PAUL (PLPC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 N BLUE MILLS RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64058-1703
Mailing Address - Country:US
Mailing Address - Phone:816-866-5946
Mailing Address - Fax:
Practice Address - Street 1:1805 N BLUE MILLS RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64058-1703
Practice Address - Country:US
Practice Address - Phone:816-866-5946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015007710101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional