Provider Demographics
NPI:1235282351
Name:HENDRICK, FRANCES R (PCC)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:R
Last Name:HENDRICK
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6934 MIAMI AVE
Mailing Address - Street 2:SUITE 19
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2674
Mailing Address - Country:US
Mailing Address - Phone:513-272-1500
Mailing Address - Fax:513-272-1513
Practice Address - Street 1:6934 MIAMI AVE
Practice Address - Street 2:SUITE 19
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-2674
Practice Address - Country:US
Practice Address - Phone:513-272-1500
Practice Address - Fax:513-272-1513
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3063101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health