Healthcare Provider Details
I. General information
NPI: 1447553060
Provider Name (Legal Business Name): KATHLEEN A FRANK LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/21/2010
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7053 S TAMIAMI TRL STE A
SARASOTA FL
34231-5559
US
IV. Provider business mailing address
7053 S TAMIAMI TRL STE A
SARASOTA FL
34231-5559
US
V. Phone/Fax
- Phone: 941-962-6300
- Fax:
- Phone: 941-962-6300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHLEEN
FRANK
Title or Position: OWNER/PSYCHOTHERAPIST
Credential:
Phone: 941-962-6300