=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588084271
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CANDI FRANCIS LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/21/2014
-----------------------------------------------------
Last Update Date | 03/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 204 N MAIN ST
-----------------------------------------------------
City | DANVILLE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52623-9620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-850-4646
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 133
-----------------------------------------------------
City | NEW LONDON
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52645-0133
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-850-4646
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
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 | 072075
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------