Provider Demographics
NPI:1790461622
Name:FRIZZELL, CYDNEY L (LPC-A)
Entity Type:Individual
Prefix:
First Name:CYDNEY
Middle Name:L
Last Name:FRIZZELL
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 FERRIS AVE STE 215C
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-2591
Mailing Address - Country:US
Mailing Address - Phone:972-207-3555
Mailing Address - Fax:
Practice Address - Street 1:1014 FERRIS AVE STE 215C
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2591
Practice Address - Country:US
Practice Address - Phone:972-207-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90829101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional