=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033004502
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SIENNA LAUREN FROSSARD MS, LCMHC-A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/12/2025
-----------------------------------------------------
Last Update Date | 06/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1509C HAYWOOD RD
-----------------------------------------------------
City | HENDERSONVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28791
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-273-1625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3102 CASHWELL DR UNIT 41
-----------------------------------------------------
City | GOLDSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27534-4499
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-330-3337
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | A21454
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------