Healthcare Provider Details

I. General information

NPI: 1316887748
Provider Name (Legal Business Name): JENNIFER FRANKLIN LCMHCA, LCAS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 N CROATAN HWY STE B
KITTY HAWK NC
27949-6075
US

IV. Provider business mailing address

608 HOLLY ST
KILL DEVIL HILLS NC
27948-8737
US

V. Phone/Fax

Practice location:
  • Phone: 252-573-2200
  • Fax:
Mailing address:
  • Phone: 252-572-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22493
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: