Basic Information
Provider Information
NPI: 1467657577
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKLIN
FirstName: SARAH
MiddleName: ELIZABETH
NamePrefix: MRS.
NameSuffix:  
Credential: MS LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CURRY
OtherFirstName: SARAH
OtherMiddleName: ELIZABETH
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 110 SKYLINE DR
Address2:  
City: RUSSELLVILLE
State: AR
PostalCode: 728013362
CountryCode: US
TelephoneNumber: 4799675570
FaxNumber: 4798905364
Practice Location
Address1: 110 SKYLINE DR
Address2:  
City: RUSSELLVILLE
State: AR
PostalCode: 728013362
CountryCode: US
TelephoneNumber: 4799675570
FaxNumber: 4798905364
Other Information
ProviderEnumerationDate: 06/19/2007
LastUpdateDate: 09/07/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171M00000X  N Other Service ProvidersCase Manager/Care Coordinator 
101YM0800XP1003019ARY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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