Provider Demographics
NPI:1831566850
Name:FRANCZAK, LAURA MARIE
Entity type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:MARIE
Last Name:FRANCZAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 LIME LN
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-6465
Mailing Address - Country:US
Mailing Address - Phone:440-227-0846
Mailing Address - Fax:
Practice Address - Street 1:7625 LIME LN
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-6465
Practice Address - Country:US
Practice Address - Phone:440-227-0846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1400094101YM0800X
OHE.1800653101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health