MEDICARE: VICTORIA FRAZIER LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C2204212	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E.2606051	OTHER	OH	LPCC

General Provider Information

NPI Number	:	1366175598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA FRAZIER LPCC

Provider Business Mailing Address
First Line	:	671 COLUMBIA RD STE 8
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-1477
Country	:	US
Telephone Number	:	440-895-0366
Fax Number	:	440-331-2962

Provider Business Practice Location Address
First Line	:	671 COLUMBIA RD STE 8
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-1477
Country	:	US
Telephone Number	:	888-431-0889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	06/02/2026

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