Provider Demographics
NPI:1912357591
Name:FRANCIS, ETRIYA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ETRIYA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:ETRIYA
Other - Middle Name:
Other - Last Name:HANNAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3555 COMMONWEALTH BLVD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-3119
Mailing Address - Country:US
Mailing Address - Phone:850-575-6422
Mailing Address - Fax:850-575-6422
Practice Address - Street 1:3555 COMMONWEALTH BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3119
Practice Address - Country:US
Practice Address - Phone:850-575-6422
Practice Address - Fax:850-575-6422
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health