Healthcare Provider Details

I. General information

NPI: 1588605844
Provider Name (Legal Business Name): FRANK ARAIZA LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 ALMA DR
PLANO TX
75023-6748
US

IV. Provider business mailing address

PO BOX 828
MCKINNEY TX
75070-8144
US

V. Phone/Fax

Practice location:
  • Phone: 972-422-5939
  • Fax: 972-424-2382
Mailing address:
  • Phone: 972-562-0190
  • Fax: 972-562-0190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4260
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number04670
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: