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Franchesca Lastra Vicente

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Franchesca Lastra Vicente is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1083234082
Provider Type
Individual
Full Name
Lastra Vicente, Franchesca
Credential
LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/20/2020
Last Updated
12/18/2025

Contact Information

Practice Location

615 Oakfield Dr, Brandon, FL 33511-5714

(833) 769-3524

(813) 200-9860

Mailing Location

615 Oakfield Dr, Brandon, FL 33511-5714

(833) 769-3524

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH17973 Florida
Code 221700000X	Description Art Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 17-464 Florida

Franchesca Lastra Vicente

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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