Provider Demographics
NPI:1912392200
Name:KIMBERLY FRANCIS, LLC
Entity Type:Organization
Organization Name:KIMBERLY FRANCIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-946-3758
Mailing Address - Street 1:30 POVERTY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2254
Mailing Address - Country:US
Mailing Address - Phone:860-946-3758
Mailing Address - Fax:
Practice Address - Street 1:30 POVERTY RD
Practice Address - Street 2:SUITE B
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2254
Practice Address - Country:US
Practice Address - Phone:860-946-3758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT88811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty