MEDICARE: ADVOCATE PSYCH LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1447101753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCATE PSYCH LLC

Provider Business Mailing Address
First Line	:	30 N GOULD ST STE 12377
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	307-289-8408
Fax Number	:	888-798-1016

Provider Business Practice Location Address
First Line	:	30 N GOULD ST STE 12377
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	307-289-8408
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	ERICA FRAZIER
Credential	:	MSN, APRN, PMHNP-BC
Telephone Number	:	307-289-8408

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ADVOCATE PSYCH LLC ” Practice Location

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