Provider Demographics
NPI:1144558891
Name:SMITH, JOSEPH FRANKLIN (MA,LPC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANKLIN
Last Name:SMITH
Suffix:
Gender:M
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 BARLOW RD
Mailing Address - Street 2:
Mailing Address - City:HAWKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31036-2324
Mailing Address - Country:US
Mailing Address - Phone:478-697-0543
Mailing Address - Fax:
Practice Address - Street 1:1036 BARLOW RD
Practice Address - Street 2:
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-2324
Practice Address - Country:US
Practice Address - Phone:478-697-0543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005680101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional