Provider Demographics
NPI:1023683265
Name:FRANKLIN, SAMONE MARTINA (MSW)
Entity type:Individual
Prefix:MRS
First Name:SAMONE
Middle Name:MARTINA
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:SAMONE
Other - Middle Name:MARTINA
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:5640 RUSTIC DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6732
Mailing Address - Country:US
Mailing Address - Phone:850-524-9794
Mailing Address - Fax:
Practice Address - Street 1:10611 FLORIDA HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:FL
Practice Address - Zip Code:32321
Practice Address - Country:US
Practice Address - Phone:850-643-1033
Practice Address - Fax:850-643-5066
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)