Provider Demographics
NPI:1992359848
Name:HAROLD G FRIZZELL PSYCHIATRIC SERVICES LLC
Entity Type:Organization
Organization Name:HAROLD G FRIZZELL PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:FRIZZELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, PMHNP-BC
Authorized Official - Phone:337-781-0390
Mailing Address - Street 1:PO BOX 62453
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70596-2453
Mailing Address - Country:US
Mailing Address - Phone:337-781-0390
Mailing Address - Fax:337-340-9440
Practice Address - Street 1:300 THOMPSON LOOP
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-2820
Practice Address - Country:US
Practice Address - Phone:337-781-0390
Practice Address - Fax:337-340-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty