Provider Demographics
NPI:1235671165
Name:SOTO, FRANKIE LEE (BS)
Entity Type:Individual
Prefix:MRS
First Name:FRANKIE
Middle Name:LEE
Last Name:SOTO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:FRANKIE
Other - Middle Name:LEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2130 FARRIS JONES RD
Mailing Address - Street 2:
Mailing Address - City:EAST BERNSTADT
Mailing Address - State:KY
Mailing Address - Zip Code:40729-6435
Mailing Address - Country:US
Mailing Address - Phone:606-309-0806
Mailing Address - Fax:
Practice Address - Street 1:2130 FARRIS JONES RD
Practice Address - Street 2:
Practice Address - City:EAST BERNSTADT
Practice Address - State:KY
Practice Address - Zip Code:40729
Practice Address - Country:US
Practice Address - Phone:606-309-0806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-09
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173829101YA0400X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)