Healthcare Provider Details

I. General information

NPI: 1427038728
Provider Name (Legal Business Name): BARBARA JO FRANZEN LCSW, NCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 03/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10025 W. MARKHAM ST SUITE 210
LITTLE ROCK AR
72205
US

IV. Provider business mailing address

10025 W. MARKHAM ST SUITE 210
LITTLE ROCK AR
72205
US

V. Phone/Fax

Practice location:
  • Phone: 501-663-5473
  • Fax: 501-801-1816
Mailing address:
  • Phone: 501-663-5473
  • Fax: 501-801-1816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA-111
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC1559
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC1559
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: