Provider Demographics
NPI:1194485391
Name:FRANKLIN, ANGELA NICOLE (LGPC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:NICOLE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8642 BRAE BROOKE DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3814
Mailing Address - Country:US
Mailing Address - Phone:443-742-6522
Mailing Address - Fax:
Practice Address - Street 1:733 8TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3721
Practice Address - Country:US
Practice Address - Phone:202-600-4822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGPC00824101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty