Provider Demographics
NPI:1932261179
Name:FRANK, LEA T (MA, PCC)
Entity Type:Individual
Prefix:MRS
First Name:LEA
Middle Name:T
Last Name:FRANK
Suffix:
Gender:F
Credentials:MA, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-2720
Mailing Address - Country:US
Mailing Address - Phone:419-448-4094
Mailing Address - Fax:419-448-4095
Practice Address - Street 1:24 W MARKET ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-2720
Practice Address - Country:US
Practice Address - Phone:419-448-4094
Practice Address - Fax:419-448-4095
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1971101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health