Healthcare Provider Details

I. General information

NPI: 1487387064
Provider Name (Legal Business Name): EMILY FRANCIS LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date: 01/03/2024
Reactivation Date: 01/09/2024

III. Provider practice location address

5652 SHIELDS DR
BETHESDA MD
20817-3574
US

IV. Provider business mailing address

1298 BAY DALE DR STE 211
ARNOLD MD
21012-2815
US

V. Phone/Fax

Practice location:
  • Phone: 301-202-4677
  • Fax:
Mailing address:
  • Phone: 443-981-8314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC13696
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701014743
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: