Provider Demographics
NPI:1881196459
Name:FRANCIS, PRISCILLA ABIGAIL (LCSW)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:ABIGAIL
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16770 IMPERIAL VALLEY DR STE 145
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3408
Mailing Address - Country:US
Mailing Address - Phone:281-608-2677
Mailing Address - Fax:
Practice Address - Street 1:16770 IMPERIAL VALLEY DR STE 145
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3408
Practice Address - Country:US
Practice Address - Phone:281-608-2677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX580391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty