Provider Demographics
NPI:1407329568
Name:FRAZIER, KARA (LMHC, QS)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:LMHC, QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1547 PROSPERITY FARMS RD
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-2025
Mailing Address - Country:US
Mailing Address - Phone:561-814-5455
Mailing Address - Fax:
Practice Address - Street 1:1547 PROSPERITY FARMS RD
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-2025
Practice Address - Country:US
Practice Address - Phone:561-814-5455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13806101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)