Healthcare Provider Details

I. General information

NPI: 1205147089
Provider Name (Legal Business Name): KATIE LAUREN FRANKLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3080 W 3RD ST
ELK CITY OK
73644-4323
US

IV. Provider business mailing address

317 E PROCTOR AVE APT 3
WEATHERFORD OK
73096-5253
US

V. Phone/Fax

Practice location:
  • Phone: 580-225-5136
  • Fax:
Mailing address:
  • Phone: 580-819-1223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: