Healthcare Provider Details

I. General information

NPI: 1558674580
Provider Name (Legal Business Name): MS. TIMARIE ANNE FRANCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2010
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 OAK HAVEN DR
ALTAMONTE SPRINGS FL
32701-6318
US

IV. Provider business mailing address

404 OAK HAVEN DR
ALTAMONTE SPRINGS FL
32701-6318
US

V. Phone/Fax

Practice location:
  • Phone: 215-939-5996
  • Fax:
Mailing address:
  • Phone: 215-939-5996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: