Provider Demographics
NPI:1477038974
Name:FRYE, TRUDY JOY (LPC)
Entity Type:Individual
Prefix:
First Name:TRUDY
Middle Name:JOY
Last Name:FRYE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TRUDY
Other - Middle Name:JOY
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2402 CANYON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79415-2000
Mailing Address - Country:US
Mailing Address - Phone:806-897-9735
Mailing Address - Fax:806-762-0838
Practice Address - Street 1:2402 CANYON LAKE DR
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-2000
Practice Address - Country:US
Practice Address - Phone:806-897-9735
Practice Address - Fax:806-762-0838
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66791101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional