MEDICARE: TIANA CHERIE FRAZIER LMFT-ASSOCIATE

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	103K00000X	Behavior Analyst
2	101YM0800X	Mental Health Counselor	203845	TX

General Provider Information

NPI Number	:	1437574043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIANA CHERIE FRAZIER LMFT-ASSOCIATE

Provider Business Mailing Address
First Line	:	1551 OAK LAWN AVE APT 315
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-3678
Country	:	US
Telephone Number	:	405-503-0402
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 OAK LAWN AVE APT 315
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-3678
Country	:	US
Telephone Number	:	405-503-0402
Fax Number	:

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

Provider Enumeration Date	:	02/19/2014
Last Update Date	:	06/03/2021

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Directions to “ TIANA CHERIE FRAZIER LMFT-ASSOCIATE” Practice Location

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