Healthcare Provider Details

I. General information

NPI: 1518634039
Provider Name (Legal Business Name): FRANCINE SWEET MA, MS, ADDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 S CIRCLE DR
COLORADO SPRINGS CO
80910-2326
US

IV. Provider business mailing address

2660 W UINTAH ST APT 5
COLORADO SPRINGS CO
80904-2538
US

V. Phone/Fax

Practice location:
  • Phone: 719-578-5433
  • Fax: 719-578-5434
Mailing address:
  • Phone: 719-465-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberADDC.0000132
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: