Provider Demographics
NPI:1770515322
Name:FRANKS, TULLOS LOUIS III (LCSW)
Entity type:Individual
Prefix:MR
First Name:TULLOS
Middle Name:LOUIS
Last Name:FRANKS
Suffix:III
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11215 HERMITAGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3809
Mailing Address - Country:US
Mailing Address - Phone:501-219-9912
Mailing Address - Fax:501-219-9917
Practice Address - Street 1:11215 HERMITAGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3809
Practice Address - Country:US
Practice Address - Phone:501-219-9912
Practice Address - Fax:501-219-9917
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR799-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
5S132Medicare ID - Type Unspecified