Provider Demographics
NPI:1730248188
Name:FRANCIS, THELMA E (PSYD)
Entity type:Individual
Prefix:DR
First Name:THELMA
Middle Name:E
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 CAMPBELL RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-6612
Mailing Address - Country:US
Mailing Address - Phone:678-691-3474
Mailing Address - Fax:678-691-3474
Practice Address - Street 1:720 CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-6612
Practice Address - Country:US
Practice Address - Phone:678-691-3474
Practice Address - Fax:678-691-3474
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB31847103T00000X
GALPC006089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist