Provider Demographics
NPI:1154465003
Name:FRAZER MEMORIAL METHODIST CHURCH
Entity Type:Organization
Organization Name:FRAZER MEMORIAL METHODIST CHURCH
Other - Org Name:FRAZER COUNSELING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-272-8622
Mailing Address - Street 1:6000 ATLANTA HWY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-2804
Mailing Address - Country:US
Mailing Address - Phone:334-272-8622
Mailing Address - Fax:334-260-3645
Practice Address - Street 1:6000 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-2804
Practice Address - Country:US
Practice Address - Phone:334-272-8622
Practice Address - Fax:334-260-3645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty