Provider Demographics
NPI:1376182337
Name:TINA FRANCIS COUNSELING, LLC
Entity type:Organization
Organization Name:TINA FRANCIS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-805-1973
Mailing Address - Street 1:4870 S LEWIS AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5141
Mailing Address - Country:US
Mailing Address - Phone:918-805-1973
Mailing Address - Fax:
Practice Address - Street 1:4870 S LEWIS AVE STE 125
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5141
Practice Address - Country:US
Practice Address - Phone:918-805-1973
Practice Address - Fax:918-746-0573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-22
Last Update Date:2019-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty