Provider Demographics
NPI:1255347126
Name:FRANKLIN, L BRADLEY (MA MFT LPC)
Entity type:Individual
Prefix:MR
First Name:L
Middle Name:BRADLEY
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:MA MFT LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 W POPLAR STREET
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756
Mailing Address - Country:US
Mailing Address - Phone:479-986-3655
Mailing Address - Fax:479-633-9398
Practice Address - Street 1:318 W POPLAR STREET
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756
Practice Address - Country:US
Practice Address - Phone:479-986-3655
Practice Address - Fax:479-633-9398
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0111047101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional