Provider Demographics
NPI:1710159652
Name:PRATT FRANKLIN, NERISSA MARIE (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:NERISSA
Middle Name:MARIE
Last Name:PRATT FRANKLIN
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 BLUE HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-4982
Mailing Address - Country:US
Mailing Address - Phone:678-615-8797
Mailing Address - Fax:
Practice Address - Street 1:2601 SUMMERS ST NW STE 200
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-3548
Practice Address - Country:US
Practice Address - Phone:678-615-8797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9371101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health