Healthcare Provider Details

I. General information

NPI: 1831053925
Provider Name (Legal Business Name): AUDRIANNA ELISS FRANKLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 E SOUTH BLVD
MONTGOMERY AL
36116-2409
US

IV. Provider business mailing address

804 BREWSTER ST
PIKE ROAD AL
36064-2224
US

V. Phone/Fax

Practice location:
  • Phone: 334-747-2492
  • Fax: 334-747-2499
Mailing address:
  • Phone: 334-747-2492
  • Fax: 334-747-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05560
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: