Provider Demographics
NPI:1588933477
Name:MEATON-FRANCISCO, DESIREE COA (LMHC MH12373)
Entity type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:COA
Last Name:MEATON-FRANCISCO
Suffix:
Gender:F
Credentials:LMHC MH12373
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4422 E COLUMBUS DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-3233
Mailing Address - Country:US
Mailing Address - Phone:813-413-4127
Mailing Address - Fax:813-623-2853
Practice Address - Street 1:1463 OAKFIELD DR STE 113
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-0815
Practice Address - Country:US
Practice Address - Phone:813-413-1064
Practice Address - Fax:813-479-0425
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4748101YA0400X
FLMHC12373101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)