Provider Demographics
NPI:1124739321
Name:FRANKLIN, JOSEPH BRANTLY (PLPC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:BRANTLY
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 LINE AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4628
Mailing Address - Country:US
Mailing Address - Phone:318-425-3400
Mailing Address - Fax:318-425-3447
Practice Address - Street 1:1303 LINE AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4628
Practice Address - Country:US
Practice Address - Phone:318-425-3400
Practice Address - Fax:318-425-3447
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9190101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor