Healthcare Provider Details

I. General information

NPI: 1306061650
Provider Name (Legal Business Name): VICKY FRANKFOURTH MOYLE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 PATTERSON RD
GRAND JUNCTION CO
81506-4031
US

IV. Provider business mailing address

1680 HALL AVE
GRAND JUNCTION CO
81501-6328
US

V. Phone/Fax

Practice location:
  • Phone: 970-243-9539
  • Fax:
Mailing address:
  • Phone: 970-261-2594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4036
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00011001
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: