Olivia Chante' Frazier, LPC
Individual provider Active NPI Professional Counselor · Tyrone, GA
NPI 1346562774 · NPPES record last updated Mar 9, 2022
Key facts
- NPI
- 1346562774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC005812 (GA)
- Practice address
- 130 Howell Rd Ste D
Tyrone, GA 30290-2097 - Phone
- (404) 451-1631
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 30, 2024 through Sep 30, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005812 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transform You LLC | Professional | Current |
Accepting new patients |
| Discovery Counseling and Assessment Center, LLC | Professional | Past |
Accepting new patients |
Locations
130 Howell Rd
Ste D
Tyrone, GA 30290
Phone (404) 451-1631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005812 | GA | Yes |
Addresses
Primary practice location
130 Howell Rd Ste D
Tyrone, GA 30290-2097
Mailing address
595 Old Greenville Rd
Fayetteville, GA 30215-5930
Phone (404) 451-1631
Other providers in Tyrone, GA
- Liza Moran Fernandez
- Phedra Fields
- Peggy Ann Fitzgerald Murry
- Jessica Flowers
- Sydney Found
- G. Scott Williamson O.D., P.C.
- Julietta Avila Gamboa
- Peyton Garrett
- Gened Psych Associates, LLC
- Genesys Family Practice, Inc.
All providers in Tyrone, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.