=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134321128
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAY FRANCIS M.A.,LMFT,PA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2007
-----------------------------------------------------
Last Update Date | 02/27/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2699 STIRLING RD SUITE A-105
-----------------------------------------------------
City | FORT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33312-6517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-629-2399
-----------------------------------------------------
Fax | 954-962-4926
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 108 W SUMMIT HILL DR
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37902-1025
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-525-1099
-----------------------------------------------------
Fax | 865-525-7494
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 0000092
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 752
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------