Provider Demographics
NPI:1568623494
Name:FRANGOU, TRIADA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:TRIADA
Middle Name:
Last Name:FRANGOU
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BLAKER ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1317
Mailing Address - Country:US
Mailing Address - Phone:508-340-5313
Mailing Address - Fax:
Practice Address - Street 1:21 PHEASANT CT
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2457
Practice Address - Country:US
Practice Address - Phone:508-340-5313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health