| Carolyn D. Frye, Llc | |
|
920 Dannon Vw Sw Suite 3104 Atlanta GA 30331-2157 | |
| (404) 629-3933 | |
| (404) 629-3935 |
| Full Name | Carolyn D. Frye, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 920 Dannon Vw Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Carolyn Delois Frye (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4046293933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn D. Frye, Llc 920 Dannon Vw Sw Suite 3104 Atlanta GA 30331-2157 Ph: (404) 629-3933 | Carolyn D. Frye, Llc 920 Dannon Vw Sw Suite 3104 Atlanta GA 30331-2157 Ph: (404) 629-3933 |
| NPI Number | 1538305016 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 01/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538305016 | NPI | - | NPPES |
| 1730354689 | Other | GA | NPI 1 |
| 419117410A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005026 (Georgia) | Primary |
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