Provider Demographics
NPI:1508342833
Name:RADOFF, TRICIA (LPC)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:RADOFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6476 FOREFRONT AVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7294
Mailing Address - Country:US
Mailing Address - Phone:214-695-7072
Mailing Address - Fax:
Practice Address - Street 1:6476 FOREFRONT AVE
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7294
Practice Address - Country:US
Practice Address - Phone:214-695-7072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17284101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional