Healthcare Provider Details

I. General information

NPI: 1285237586
Provider Name (Legal Business Name): VICTORIA FRANKIE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3814 PEANUT RD
COTTONDALE FL
32431-6820
US

IV. Provider business mailing address

3814 PEANUT RD
COTTONDALE FL
32431-6820
US

V. Phone/Fax

Practice location:
  • Phone: 814-619-8702
  • Fax:
Mailing address:
  • Phone: 814-619-8702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: