Provider Demographics
NPI:1831591502
Name:FRYER COUNSELING SERVICES
Entity type:Organization
Organization Name:FRYER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FRYER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-413-1598
Mailing Address - Street 1:800 W HIGHWAY 290 BLDG D
Mailing Address - Street 2:SUITE 300E
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-4191
Mailing Address - Country:US
Mailing Address - Phone:512-413-1598
Mailing Address - Fax:
Practice Address - Street 1:800 W HIGHWAY 290 BLDG D
Practice Address - Street 2:SUITE 300E
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4191
Practice Address - Country:US
Practice Address - Phone:512-413-1598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty