Provider Demographics
NPI:1649444530
Name:FRANKLIN, SHERRY
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MID CONTINENT PLZ
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-1760
Mailing Address - Country:US
Mailing Address - Phone:870-735-2499
Mailing Address - Fax:870-735-2496
Practice Address - Street 1:310 MID CONTINENT PLZ
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-1760
Practice Address - Country:US
Practice Address - Phone:870-735-2499
Practice Address - Fax:870-735-2496
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)