Organization
CAROLYN D. FRYE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN DELOIS FRYE LPN, NCC (PSYCHOTHERAPIST)
(404) 629-3933
Entity
Organization
Contact information
Practice address
920 DANNON VW SW, SUITE 3104, ATLANTA, GA 30331-2157
(404) 629-3933
(404) 629-3935
Mailing address
920 DANNON VW SW, SUITE 3104, ATLANTA, GA 30331-2157
(404) 629-3933
(404) 629-3935
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC005026
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730354689
NPI 1
GA
05
—
419117410A
—
GA
Enumeration date
01/05/2009
Last updated
01/05/2009
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