Provider Demographics
NPI:1437574043
Name:FRAZIER, TIANA CHERIE (LMFT-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:TIANA
Middle Name:CHERIE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:TIANA
Other - Middle Name:CHERIE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1551 OAK LAWN AVE APT 315
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-3678
Mailing Address - Country:US
Mailing Address - Phone:405-503-0402
Mailing Address - Fax:
Practice Address - Street 1:1551 OAK LAWN AVE APT 315
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-3678
Practice Address - Country:US
Practice Address - Phone:405-503-0402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-19
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
TX203845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst