Provider Demographics
NPI:1295281061
Name:FRANKLYN MORRIS BASW
Entity type:Organization
Organization Name:FRANKLYN MORRIS BASW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:BASW
Authorized Official - Phone:515-357-2522
Mailing Address - Street 1:2309 CLIFFORD AVE
Mailing Address - Street 2:APT 6
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-2193
Mailing Address - Country:US
Mailing Address - Phone:515-357-2522
Mailing Address - Fax:
Practice Address - Street 1:2309 CLIFFORD AVE
Practice Address - Street 2:APT 6
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-2112
Practice Address - Country:US
Practice Address - Phone:515-357-2522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health