Healthcare Provider Details
I. General information
NPI: 1962684951
Provider Name (Legal Business Name): FRANK LAWRENCE SAIZ LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/30/2007
Last Update Date: 01/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 YALE NE
ALBUQUERQUE NM
87131-0001
US
IV. Provider business mailing address
2500 WISCONSIN ST NE
ALBUQUERQUE NM
87110-3754
US
V. Phone/Fax
- Phone: 505-272-2190
- Fax: 505-272-3466
- Phone: 505-299-1521
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 0145051 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: