Provider Demographics
NPI:1235120270
Name:CARR, FRANCINE MARIE (MHS, LPC, CAC, SAP)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:MARIE
Last Name:CARR
Suffix:
Gender:F
Credentials:MHS, LPC, CAC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1063 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LINFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1106
Mailing Address - Country:US
Mailing Address - Phone:610-495-6363
Mailing Address - Fax:610-495-2866
Practice Address - Street 1:766 W MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TRAPPE
Practice Address - State:PA
Practice Address - Zip Code:19426-1926
Practice Address - Country:US
Practice Address - Phone:610-409-2649
Practice Address - Fax:610-495-2866
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3985101YA0400X
PAPC0022205101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2319097000Medicare UPIN
PA504413Medicare UPIN
PA0007905462Medicare UPIN