Provider Demographics
NPI:1023546918
Name:F.R.F. PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:F.R.F. PROFESSIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MARRIAGE FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:FABIEN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MA
Authorized Official - Phone:702-576-9882
Mailing Address - Street 1:8430 W LAKE MEAD BLVD STE 139
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7672
Mailing Address - Country:US
Mailing Address - Phone:702-576-9882
Mailing Address - Fax:
Practice Address - Street 1:8430 W LAKE MEAD BLVD STE 139
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7672
Practice Address - Country:US
Practice Address - Phone:702-576-9882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health