Provider Demographics
NPI:1427534254
Name:FRANCIS, SHELLY KENDRALL RENEE
Entity Type:Individual
Prefix:
First Name:SHELLY
Middle Name:KENDRALL RENEE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 ABBINGTON DR APT 33
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-1668
Mailing Address - Country:US
Mailing Address - Phone:504-335-6137
Mailing Address - Fax:
Practice Address - Street 1:6400 ABBINGTON DR APT 33
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126
Practice Address - Country:US
Practice Address - Phone:504-335-6137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-15
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health