Healthcare Provider Details

I. General information

NPI: 1013239045
Provider Name (Legal Business Name): FRANCINE LYNN SEXTON LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6130 COCHISE DR
WEST BLOOMFIELD MI
48322-2361
US

IV. Provider business mailing address

6130 COCHISE DR
WEST BLOOMFIELD MI
48322-2361
US

V. Phone/Fax

Practice location:
  • Phone: 248-752-5080
  • Fax:
Mailing address:
  • Phone: 248-752-5080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401009005
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: