Provider Demographics
NPI:1306998232
Name:FRANKLIN, SEAN EDWARD (DMIN, LPC)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:EDWARD
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:DMIN, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 6416
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77725-6416
Mailing Address - Country:US
Mailing Address - Phone:409-504-1032
Mailing Address - Fax:409-729-6404
Practice Address - Street 1:8700 9TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-8076
Practice Address - Country:US
Practice Address - Phone:409-504-1032
Practice Address - Fax:409-729-6404
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62540101YM0800X, 101YP2500X, 101Y00000X, 103K00000X, 102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183634806Medicaid
TX183634801Medicaid