Provider Demographics
NPI:1881303634
Name:FRAZIER, ANDREW (MS, LMHC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 ALORA ISLES DR APT 1112
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-3638
Mailing Address - Country:US
Mailing Address - Phone:770-855-4186
Mailing Address - Fax:
Practice Address - Street 1:4949 ALORA ISLES DR APT 1112
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-3638
Practice Address - Country:US
Practice Address - Phone:770-855-4186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health