Provider Demographics
NPI:1629409172
Name:KERRY FRANCES, LMFT, LLC
Entity Type:Organization
Organization Name:KERRY FRANCES, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERRY-ANN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FRANCES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-243-0783
Mailing Address - Street 1:401 LAUGHLIN RD
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4344
Mailing Address - Country:US
Mailing Address - Phone:203-243-0783
Mailing Address - Fax:
Practice Address - Street 1:2296 MAIN ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-5974
Practice Address - Country:US
Practice Address - Phone:203-243-0783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1604106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000597173OtherOPTUM
CT008047052Medicaid