Provider Demographics
NPI: | 1689084873 |
---|---|
Name: | DR. CAROL FRANCIS, INC. |
Entity type: | Organization |
Organization Name: | DR. CAROL FRANCIS, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | CAROL |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | FRANCIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PSYD, MA, MFT |
Authorized Official - Phone: | 310-543-1824 |
Mailing Address - Street 1: | 3655 TORRANCE BLVD |
Mailing Address - Street 2: | THIRD FLOOR |
Mailing Address - City: | TORRANCE |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90503-4810 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 310-543-1824 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3655 TORRANCE BLVD |
Practice Address - Street 2: | THIRD FLOOR |
Practice Address - City: | TORRANCE |
Practice Address - State: | CA |
Practice Address - Zip Code: | 90503-4810 |
Practice Address - Country: | US |
Practice Address - Phone: | 310-543-1824 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-04-28 |
Last Update Date: | 2014-04-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | PSY 10881 | 101YP1600X, 103K00000X, 103T00000X, 103TA0400X, 103TA0700X, 103TB0200X, 103TC0700X, 103TC2200X, 103TE1100X, 103TF0000X, 103TF0200X, 103TM1800X, 103TP0814X, 103TP2701X |
CA | ML19429 | 106H00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | Pastoral | Group - Multi-Specialty |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | Group - Multi-Specialty |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
No | 103TE1100X | Behavioral Health & Social Service Providers | Psychologist | Exercise & Sports | Group - Multi-Specialty |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
No | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | Forensic | Group - Multi-Specialty |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
No | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis | Group - Multi-Specialty |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty |