Provider Demographics
NPI:1215023676
Name:FRANKO, CARRIE C
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:C
Last Name:FRANKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:M
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:672 MARINA DR STE 205
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:843-258-1030
Practice Address - Street 1:672 MARINA DR STE 205
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-8095
Practice Address - Country:US
Practice Address - Phone:843-607-0727
Practice Address - Fax:843-258-1030
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
SC5259101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1760596480Medicaid
NONEOtherNONE