Provider Demographics
NPI:1114639804
Name:RANDALL, FRANCESCA (LMHC)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:RANDALL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:FRANCESCA
Other - Middle Name:
Other - Last Name:BASINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1740 SARNO RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-4904
Mailing Address - Country:US
Mailing Address - Phone:321-373-2281
Mailing Address - Fax:
Practice Address - Street 1:1740 SARNO RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-4904
Practice Address - Country:US
Practice Address - Phone:321-373-2281
Practice Address - Fax:321-373-2294
Is Sole Proprietor?:No
Enumeration Date:2022-12-14
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2146101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health