Basic Information
| Provider Information | |||||||||
| NPI: | 1689904609 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANKS | ||||||||
| FirstName: | AMANDA | ||||||||
| MiddleName: | GOBLE | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 486 SPAULDING RD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287525212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286522919 | ||||||||
| FaxNumber: | 8286522981 | ||||||||
| Practice Location | |||||||||
| Address1: | 2651 MORGANTON BLVD SW | ||||||||
| Address2: | |||||||||
| City: | LENOIR | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287578950 | ||||||||
| FaxNumber: | 8287578968 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2010 | ||||||||
| LastUpdateDate: | 07/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | C007292 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 6007854 | 05 | NC | MEDICAID |