Olivia Chante' Frazier, LPC
Counselor, Professional in Tyrone, GA. Individual provider (NPI-1).
NPI number1346562774
StatusActive
Last updated in NPPESMar 9, 2022
Details
- NPI
- 1346562774
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Olivia Chante' Frazier
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2010
- Certification date
- Mar 9, 2022
- Last updated
- Mar 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC005812 | GA | Yes |
Practice location
130 Howell Rd Ste DTyrone, GA 30290-2097
Phone 404-451-1631
Mailing address
595 Old Greenville RdFayetteville, GA 30215-5930
Phone 404-451-1631
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