Provider Demographics
NPI:1356621940
Name:FRANKLIN, ELISE-MARIE (MA MFT)
Entity type:Individual
Prefix:
First Name:ELISE-MARIE
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8240 BEVERLY BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4529
Mailing Address - Country:US
Mailing Address - Phone:310-853-2569
Mailing Address - Fax:
Practice Address - Street 1:8240 BEVERLY BLVD STE 8
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4529
Practice Address - Country:US
Practice Address - Phone:310-853-2569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist