Provider Demographics
NPI:1780605139
Name:FRANKS, ELIZABETH M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:M
Last Name:FRANKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 S POLK ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-3152
Mailing Address - Country:US
Mailing Address - Phone:806-220-2902
Mailing Address - Fax:806-379-5333
Practice Address - Street 1:1705 S POLK ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-3152
Practice Address - Country:US
Practice Address - Phone:806-220-2902
Practice Address - Fax:806-379-5333
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002168-0022011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0640161-01Medicaid
TX0640161-01Medicaid