Provider Demographics
NPI:1891859344
Name:FRANCIS, ANNE C (MS, LPC, MAC)
Entity Type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:C
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MS, LPC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5061 CENTENNIAL COMMONS DR NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-2171
Mailing Address - Country:US
Mailing Address - Phone:404-210-6903
Mailing Address - Fax:
Practice Address - Street 1:2910 CHEROKEE ST NW
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-6523
Practice Address - Country:US
Practice Address - Phone:404-210-6903
Practice Address - Fax:770-424-2254
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2414569OtherAETNA PROVIDER #
GA1136751OtherCIGNA VENDOR #
GA52804777OtherBCBS OF GA. PROVIDER #