Provider Demographics
NPI:1699221820
Name:FRANKS, TRUDY (LCSW)
Entity Type:Individual
Prefix:
First Name:TRUDY
Middle Name:
Last Name:FRANKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 WOODBURN DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-2381
Mailing Address - Country:US
Mailing Address - Phone:225-337-0727
Mailing Address - Fax:985-872-4473
Practice Address - Street 1:START CORPORATION
Practice Address - Street 2:420 MAGNOLIA STREET
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70361
Practice Address - Country:US
Practice Address - Phone:985-879-3966
Practice Address - Fax:985-872-4473
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2619101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor