Franklin Dewayne Brown, LPC

Individual provider Active NPI Professional Counselor · Lake Park, GA

NPI 1265054985 · NPPES record last updated May 15, 2020

Key facts

NPI
1265054985
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
5310 Golf Dr
Lake Park, GA 31636-3335
Phone
(229) 412-3452
NPI assigned
May 15, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
New Foundations Youth Center, Inc Professional Current
since May 17, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

5310 Golf Dr
Lake Park, GA 31636-3335

Mailing address

PO Box 106
Quitman, GA 31643-0106
Phone (229) 412-3452

Other providers in Lake Park, GA

All providers in Lake Park, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.