Provider Demographics
NPI:1811936057
Name:MCCOWAN, FRANCIS EILEEN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:FRANCIS
Middle Name:EILEEN
Last Name:MCCOWAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32064-1550
Mailing Address - Country:US
Mailing Address - Phone:386-842-5501
Mailing Address - Fax:386-842-2429
Practice Address - Street 1:2486 CECIL WEBB PL
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32060-8337
Practice Address - Country:US
Practice Address - Phone:386-842-5555
Practice Address - Fax:386-842-1029
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH57551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL764541400Medicaid