Provider Demographics
NPI:1164452561
Name:FRY, JAMES L (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:FRY
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8061 SAWYER CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34288-3115
Mailing Address - Country:US
Mailing Address - Phone:941-916-2222
Mailing Address - Fax:941-761-6770
Practice Address - Street 1:459 GILL ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-4874
Practice Address - Country:US
Practice Address - Phone:941-916-2222
Practice Address - Fax:941-761-6770
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health