Provider Demographics
NPI:1265054985
Name:BROWN, FRANKLIN DEWAYNE (LPC)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:DEWAYNE
Last Name:BROWN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 106
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31643-0106
Mailing Address - Country:US
Mailing Address - Phone:229-412-3452
Mailing Address - Fax:
Practice Address - Street 1:5310 GOLF DR
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:GA
Practice Address - Zip Code:31636-3335
Practice Address - Country:US
Practice Address - Phone:229-412-3452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty