Healthcare Provider Details

I. General information

NPI: 1144367459
Provider Name (Legal Business Name): FRANKLIN CARDONA LPC,CAS,MDIV,CSATPHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2219 LOWES DR W
CLARKSVILLE TN
37040-6888
US

IV. Provider business mailing address

2219 LOWES DR W
CLARKSVILLE TN
37040-6888
US

V. Phone/Fax

Practice location:
  • Phone: 931-553-6981
  • Fax: 931-553-6082
Mailing address:
  • Phone: 931-553-6981
  • Fax: 931-553-6982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLPC0000000827
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberLPC0000000827
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0000000827
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLPC0000000827
License Number StateTN
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC0000000827
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: