Provider Demographics
NPI:1073381398
Name:FRANK, AMELIA (LCSW, ACHP-SW)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:LCSW, ACHP-SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 GROVER AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1524
Mailing Address - Country:US
Mailing Address - Phone:513-315-9169
Mailing Address - Fax:
Practice Address - Street 1:5600 GROVER AVE APT 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-1524
Practice Address - Country:US
Practice Address - Phone:513-315-9169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66026101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health