Basic Information
Provider Information
NPI: 1588872014
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKS
FirstName: CHRISTY
MiddleName: LUMPKIN
NamePrefix: MS.
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3504 LONGMEADOW DR.
Address2:  
City: BRYANT
State: AR
PostalCode: 72022
CountryCode: US
TelephoneNumber: 5018477769
FaxNumber:  
Practice Location
Address1: 20400 COLONEL GLENN RD
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722105323
CountryCode: US
TelephoneNumber: 5018215500
FaxNumber: 5018215580
Other Information
ProviderEnumerationDate: 05/18/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XP99060104ARY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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