=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316655228
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANCO THERAPEUTIC CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/09/2022
-----------------------------------------------------
Last Update Date | 01/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 638 WALKER DR
-----------------------------------------------------
City | NORTHAMPTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18067-8819
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-272-7497
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 638 WALKER DR
-----------------------------------------------------
City | NORTHAMPTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18067-8819
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. JENNY L FRANCO
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 484-272-7497
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------