Provider Demographics
NPI:1851034516
Name:FRY COUNSELING, LLC
Entity Type:Organization
Organization Name:FRY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, BC-TMH
Authorized Official - Phone:888-301-8354
Mailing Address - Street 1:463 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-2007
Mailing Address - Country:US
Mailing Address - Phone:888-301-8354
Mailing Address - Fax:888-301-1492
Practice Address - Street 1:463 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-2007
Practice Address - Country:US
Practice Address - Phone:888-301-8354
Practice Address - Fax:888-301-1492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty