MEDICARE: MRS. SUSANNE MARIE FRED LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	18678	TX

General Provider Information

NPI Number	:	1225182850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSANNE MARIE FRED LPC

Provider Business Mailing Address
First Line	:	1452 HUGHES RD
Second Line	:	SUITE 211
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-7366
Country	:	US
Telephone Number	:	817-410-5770
Fax Number	:	972-393-4119

Provider Business Practice Location Address
First Line	:	1452 HUGHES RD
Second Line	:	SUITE 211
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-7366
Country	:	US
Telephone Number	:	817-410-5770
Fax Number	:	972-393-4119

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1457202749 — SUSAN ELAINE MELTON LPC
Practice Location Address:

1452 HUGHES RD
GRAPEVINE, TX
76051-7366

Practice Phone: 682-503-1788
Practice Fax:

1598773186 — MRS. JOAN WEHMAN LCSW
Practice Location Address:

1452 HUGHES RD , SUITE 280
GRAPEVINE, TX
76051-7366

Practice Phone: 817-410-5767
Practice Fax: 972-299-6817

1720108707 — HALEY & HANDLEY ENTERPRISES, INC.
Practice Location Address:

1452 HUGHES RD , SUITE 200
GRAPEVINE, TX
76051-7366

Practice Phone: 817-410-5775
Practice Fax:

1528227360 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:

1452 HUGHES RD , SUITE 130
GRAPEVINE, TX
76051-7366

Practice Phone: 817-262-8838
Practice Fax: 817-877-0492

1790945244 — THREE OF A KIND, LLC
Practice Location Address:

1452 HUGHES RD STE 100B
GRAPEVINE, TX
76051-7366

Practice Phone: 844-310-0056
Practice Fax: 888-556-2547

1518265966 — CLINICAL ASSOCIATES, INC
Practice Location Address:

1452 HUGHES RD STE 244
GRAPEVINE, TX
76051-7366

Practice Phone: 800-875-8523
Practice Fax: 361-239-2863

Directions to “ MRS. SUSANNE MARIE FRED LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.