Provider Demographics
NPI:1205912870
Name:FRANCIS, AMY DANETTE (LPC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:DANETTE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 LINDA LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-9044
Mailing Address - Country:US
Mailing Address - Phone:816-781-4414
Mailing Address - Fax:
Practice Address - Street 1:4214 NW COOKINGHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64164-1101
Practice Address - Country:US
Practice Address - Phone:816-223-6376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003024082101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO499205003Medicaid