MEDICARE: MS. KATHLEEN SUE FRANCIES MS, LLP, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6401009097	MI
2	103TC1900X	Counseling Psychologist	6301007373	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11548379	OTHER	MI	CAQH

General Provider Information

NPI Number	:	1174528327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN SUE FRANCIES MS, LLP, LPC

Provider Business Mailing Address
First Line	:	722 ONETA ST
Second Line	:
City	:	OXFORD
State	:	MI
Zip	:	48371-5073
Country	:	US
Telephone Number	:	248-969-5972
Fax Number	:	248-642-6832

Provider Business Practice Location Address
First Line	:	700 N OLD WOODWARD AVE
Second Line	:	STE 300
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-1338
Country	:	US
Telephone Number	:	248-642-8263
Fax Number	:	248-642-6832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	10/18/2007

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