Provider Demographics
NPI:1033372024
Name:FINE, FRANK (LMHC)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:FINE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2468 BALBOA CT
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2603
Mailing Address - Country:US
Mailing Address - Phone:727-475-2199
Mailing Address - Fax:727-475-2198
Practice Address - Street 1:737 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3502
Practice Address - Country:US
Practice Address - Phone:727-475-2199
Practice Address - Fax:727-475-2198
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1614-1101YM0800X
FLMH6242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health