Provider Demographics
NPI:1891066106
Name:FRANCIS-DUVAL, ANIDE GERMEY (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:ANIDE
Middle Name:GERMEY
Last Name:FRANCIS-DUVAL
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 ELKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-5447
Mailing Address - Country:US
Mailing Address - Phone:305-652-0771
Mailing Address - Fax:
Practice Address - Street 1:895 S COOPER ST STE 12&3
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-5604
Practice Address - Country:US
Practice Address - Phone:901-498-9126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5687101YP2500X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000OtherN/A