Provider Demographics
NPI:1821106519
Name:FRYE, RYAN GENE (LPC, LCAS, CCS)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:GENE
Last Name:FRYE
Suffix:
Gender:M
Credentials:LPC, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 S GREEN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3517
Mailing Address - Country:US
Mailing Address - Phone:828-324-8187
Mailing Address - Fax:828-437-4999
Practice Address - Street 1:617 S GREEN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3517
Practice Address - Country:US
Practice Address - Phone:828-324-8187
Practice Address - Fax:828-437-4999
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4289101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102306Medicaid