Provider Demographics
NPI:1699158873
Name:FRANCIS, NEDRA HELANE (MA, LPA, LSSP)
Entity type:Individual
Prefix:
First Name:NEDRA
Middle Name:HELANE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MA, LPA, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501B MCFERRIN AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-2169
Mailing Address - Country:US
Mailing Address - Phone:713-252-5666
Mailing Address - Fax:
Practice Address - Street 1:23471 FM 450 N
Practice Address - Street 2:
Practice Address - City:ORE CITY
Practice Address - State:TX
Practice Address - Zip Code:75683-7005
Practice Address - Country:US
Practice Address - Phone:903-968-4641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-15170103TA0700X
TX6350103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool