MEDICARE: MRS. FRANCIS EILEEN MCCOWAN LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	MH5755	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811936057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCIS EILEEN MCCOWAN LMHC

Provider Business Mailing Address
First Line	:	PO BOX 2000
Second Line	:
City	:	LIVE OAK
State	:	FL
Zip	:	32064-1550
Country	:	US
Telephone Number	:	386-842-5501
Fax Number	:	386-842-2429

Provider Business Practice Location Address
First Line	:	2486 CECIL WEBB PL
Second Line	:
City	:	LIVE OAK
State	:	FL
Zip	:	32060-8337
Country	:	US
Telephone Number	:	386-842-5555
Fax Number	:	386-842-1029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	12/21/2012

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