Basic Information
Provider Information
NPI: 1881129971
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKLIN
FirstName: KATY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPC, LCDC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 233 SGT ED HOLCOMB BLVD S
Address2:  
City: CONROE
State: TX
PostalCode: 773041990
CountryCode: US
TelephoneNumber: 9365216100
FaxNumber:  
Practice Location
Address1: 1523 NORMAL PARK DR
Address2: SUITE C
City: HUNTSVILLE
State: TX
PostalCode: 773404297
CountryCode: US
TelephoneNumber: 8558623278
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/26/2017
LastUpdateDate: 06/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X72963TXY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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