Provider Demographics
NPI:1467510172
Name:FRANKS, LINDA JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:FRANKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PUBLIC SQ
Mailing Address - Street 2:SUITE 16
Mailing Address - City:BOWMAN
Mailing Address - State:GA
Mailing Address - Zip Code:30624-1924
Mailing Address - Country:US
Mailing Address - Phone:706-498-4633
Mailing Address - Fax:706-246-3312
Practice Address - Street 1:5 PUBLIC SQ
Practice Address - Street 2:SUITE 16
Practice Address - City:BOWMAN
Practice Address - State:GA
Practice Address - Zip Code:30624-1924
Practice Address - Country:US
Practice Address - Phone:706-498-4633
Practice Address - Fax:706-246-3312
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004227101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10034988OtherAMERIGROUP