Provider Demographics
NPI:1316561624
Name:FRANKLIN, ROSLEND PETRICE (LMSW)
Entity Type:Individual
Prefix:
First Name:ROSLEND
Middle Name:PETRICE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 E HIGHLAND MALL BLVD STE 411
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3732
Mailing Address - Country:US
Mailing Address - Phone:512-458-9767
Mailing Address - Fax:
Practice Address - Street 1:314 E HIGHLAND MALL BLVD STE 411
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3732
Practice Address - Country:US
Practice Address - Phone:512-458-9767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67720104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker