Provider Demographics
NPI:1346585049
Name:MARY A. FRANCIS, INC.
Entity Type:Organization
Organization Name:MARY A. FRANCIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:802-236-4596
Mailing Address - Street 1:3400 HEALDVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:VT
Mailing Address - Zip Code:05730-0000
Mailing Address - Country:US
Mailing Address - Phone:802-236-4596
Mailing Address - Fax:802-773-2496
Practice Address - Street 1:3400 HEALDVILLE RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:VT
Practice Address - Zip Code:05730-0000
Practice Address - Country:US
Practice Address - Phone:802-236-4596
Practice Address - Fax:802-773-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0017594101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTOVN 1007Medicaid
VTOVN 1007Medicaid