Provider Demographics
NPI:1437661618
Name:FRANKLIN, KELLY MARIE (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:MARIE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:MRS
Other - First Name:KELLY
Other - Middle Name:M
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:904 MITCHELL RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-1112
Mailing Address - Country:US
Mailing Address - Phone:919-244-3658
Mailing Address - Fax:
Practice Address - Street 1:904 MITCHELL RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-1112
Practice Address - Country:US
Practice Address - Phone:919-244-3658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-28
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13458101YP2500X
TN7315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional