Provider Demographics
NPI:1962065763
Name:FRANKLIN, LISA (LPCC, ATR)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LPCC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6478 WINCHESTER BLVD
Mailing Address - Street 2:PMB# 403
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-2004
Mailing Address - Country:US
Mailing Address - Phone:513-253-6972
Mailing Address - Fax:
Practice Address - Street 1:6577 NOTTINGHILL TRAIL DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-7016
Practice Address - Country:US
Practice Address - Phone:513-253-6972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-17
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2102293101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health