Provider Demographics
NPI:1790103786
Name:FRANKLIN-GRAY, BECKETT (MA NCC LPC)
Entity Type:Individual
Prefix:
First Name:BECKETT
Middle Name:
Last Name:FRANKLIN-GRAY
Suffix:
Gender:F
Credentials:MA NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6607 ROBBIE CREEK CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-8139
Mailing Address - Country:US
Mailing Address - Phone:512-743-4970
Mailing Address - Fax:
Practice Address - Street 1:6607 ROBBIE CREEK CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-8139
Practice Address - Country:US
Practice Address - Phone:512-743-4970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional