Provider Demographics
NPI:1467582130
Name:FRANKLIN, RAYLENE JOYANN (LAC, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RAYLENE
Middle Name:JOYANN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LAC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 BANJO HILL LN
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-6121
Mailing Address - Country:US
Mailing Address - Phone:406-531-4450
Mailing Address - Fax:
Practice Address - Street 1:160 BANJO HILL LN
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-6121
Practice Address - Country:US
Practice Address - Phone:406-531-4450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1173101YA0400X
MT9111041C0700X
251C00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No251C00000XAgenciesDay Training, Developmentally Disabled Services