Basic Information
| Provider Information | |||||||||
| NPI: | 1922528231 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANKLIN | ||||||||
| FirstName: | LENNERIA | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3028 GENTILLY BLVD | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701223808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049486080 | ||||||||
| FaxNumber: | 5049486089 | ||||||||
| Practice Location | |||||||||
| Address1: | 3028 GENTILLY BLVD. | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049486080 | ||||||||
| FaxNumber: | 5049486089 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
ID Information
| ID | Type | State | Issuer | Description | 004778515 | 05 | LA | MEDICAID |