Healthcare Provider Details

I. General information

NPI: 1447721956
Provider Name (Legal Business Name): GERALD SCOTT FRALICK LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N UNIVERSITY DR STE 350
CORAL SPRINGS FL
33071-6000
US

IV. Provider business mailing address

3835 N FREEWAY BLVD STE 100
SACRAMENTO CA
95834-1954
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-2700
  • Fax: 866-468-0301
Mailing address:
  • Phone: 916-576-7900
  • Fax: 916-277-9380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404232
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH23820
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: