Provider Demographics
NPI:1881421071
Name:FROSLEY, SIERRA CHEYENNE
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:CHEYENNE
Last Name:FROSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 FOX MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:CHURCH HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37642-3340
Mailing Address - Country:US
Mailing Address - Phone:423-388-5036
Mailing Address - Fax:
Practice Address - Street 1:4132 BRISTOL HWY STE 5
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-3162
Practice Address - Country:US
Practice Address - Phone:423-328-1289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor