Carolyn D. Frye, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC005026 Issued in GA

Legal business name

CAROLYN D. FRYE, LLC

Practice address

920 Dannon VW SW
Suite 3104
Atlanta, GA 30331-2157

Phone

(404) 629-3933

Fax

(404) 629-3935

NPI assigned

Jan 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Delois Frye, LPN, NCC

Title

Psychotherapist

Phone

(404) 629-3933

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1538305016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DANNON VW SW",
            "address_2": "SUITE 3104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312157",
            "telephone_number": "404-629-3933",
            "fax_number": "404-629-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DANNON VW SW",
            "address_2": "SUITE 3104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312157",
            "telephone_number": "404-629-3933",
            "fax_number": "404-629-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN D. FRYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "DELOIS",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-629-3933",
        "authorized_official_credential": "LPN, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC005026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1730354689",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419117410A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew Stewart Caropreso
• Daniel G Carothers, MD

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.