Provider Demographics
NPI:1093608382
Name:FRANKLIN, TRAVIS DERMAINE SR
Entity type:Individual
Prefix:
First Name:TRAVIS
Middle Name:DERMAINE
Last Name:FRANKLIN
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9157 PERTUIS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT AMANT
Mailing Address - State:LA
Mailing Address - Zip Code:70774-4619
Mailing Address - Country:US
Mailing Address - Phone:225-892-1042
Mailing Address - Fax:
Practice Address - Street 1:1520 THOMAS H DELPIT DR # 125
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-6626
Practice Address - Country:US
Practice Address - Phone:225-636-2395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator