Provider Demographics
NPI:1508759424
Name:FRAZIER, PATRICE S (MS MHC, LPC)
Entity type:Individual
Prefix:
First Name:PATRICE
Middle Name:S
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:MS MHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 LULLWATER DR UNIT 925
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-6614
Mailing Address - Country:US
Mailing Address - Phone:912-844-1948
Mailing Address - Fax:
Practice Address - Street 1:45 LULLWATER DR UNIT 925
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-6614
Practice Address - Country:US
Practice Address - Phone:912-844-1948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015109101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional