Healthcare Provider Details

I. General information

NPI: 1912336546
Provider Name (Legal Business Name): FRANCINE ADAMS MBA, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ALTONIO COLEMAN

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 RENAISSANCE CTR STE 2655
DETROIT MI
48243-1502
US

IV. Provider business mailing address

400 RENAISSANCE CTR STE 2655
DETROIT MI
48243-1502
US

V. Phone/Fax

Practice location:
  • Phone: 567-277-6942
  • Fax:
Mailing address:
  • Phone: 567-277-6942
  • Fax: 313-308-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number46-4028388
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number46-4028388
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number46-4028388
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number46-4028388
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number46-4028388
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: