Provider Demographics
NPI:1457834129
Name:FRANCIS, DEBRA JANICE (LPC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JANICE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2742 PEYTON WOODS TRL SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-2142
Mailing Address - Country:US
Mailing Address - Phone:404-693-3870
Mailing Address - Fax:
Practice Address - Street 1:2742 PEYTON WOODS TRL SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-2142
Practice Address - Country:US
Practice Address - Phone:404-693-3870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA009907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health