Provider Demographics
NPI:1881092070
Name:FRANCIS, ANDREA ANN MARIE (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:ANN MARIE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3533 CREATWOOD TRL SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4530
Mailing Address - Country:US
Mailing Address - Phone:678-644-5619
Mailing Address - Fax:678-305-1368
Practice Address - Street 1:3533 CREATWOOD TRL SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4530
Practice Address - Country:US
Practice Address - Phone:678-644-5619
Practice Address - Fax:678-305-1368
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-20
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007826101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health