Healthcare Provider Details

I. General information

NPI: 1164870374
Provider Name (Legal Business Name): FRANKEE CARLIN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE CARLSON

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 LAKESIDE DR APT 109
OAKLAND CA
94612-4602
US

IV. Provider business mailing address

PO BOX 244
OAKLAND CA
94604-0244
US

V. Phone/Fax

Practice location:
  • Phone: 510-907-4344
  • Fax:
Mailing address:
  • Phone: 510-907-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT150114
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: