Healthcare Provider Details

I. General information

NPI: 1649799362
Provider Name (Legal Business Name): TARA DAWN FRANKLIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TARA DAWN PEARSON

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N FRONTAGE RD
BEEVILLE TX
78102-2955
US

IV. Provider business mailing address

2001 N FRONTAGE RD
BEEVILLE TX
78102-2955
US

V. Phone/Fax

Practice location:
  • Phone: 361-319-7685
  • Fax:
Mailing address:
  • Phone: 361-319-7856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number85150
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: