Provider Demographics
NPI:1255807905
Name:FRANKLIN, DEETZA N (LMHC)
Entity type:Individual
Prefix:
First Name:DEETZA
Middle Name:N
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16750 NE 10TH AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2674
Mailing Address - Country:US
Mailing Address - Phone:305-482-1646
Mailing Address - Fax:
Practice Address - Street 1:1380 NE MIAMI GARDENS DR STE 242
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-4709
Practice Address - Country:US
Practice Address - Phone:305-482-1646
Practice Address - Fax:305-614-7627
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-21
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16348101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health