1801228614 NPI number — DR. FELINA CARMEN FRANKLIN PH.D., LCSW

Table of content: DR. FELINA CARMEN FRANKLIN PH.D., LCSW (NPI 1801228614)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801228614 NPI number — DR. FELINA CARMEN FRANKLIN PH.D., LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKLIN
Provider First Name:
FELINA
Provider Middle Name:
CARMEN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WILSON
Provider Other First Name:
FELINA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801228614
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8603 BROADWAY
Provider Second Line Business Mailing Address:
SUITE 107
Provider Business Mailing Address City Name:
PEARLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77584
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-725-8195
Provider Business Mailing Address Fax Number:
832-383-8880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8603 BROADWAY
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
PEARLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-725-8195
Provider Business Practice Location Address Fax Number:
832-383-8880
Provider Enumeration Date:
08/02/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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