| Breanna Ciera Frye, | |
|
1644 Carter St # B, Vidalia, LA 71373-3143 | |
| (318) 414-3065 | |
| (318) 414-3067 |
| Full Name | Breanna Ciera Frye |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1644 Carter St # B, Vidalia, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518339084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Ciera Frye, 1644 Carter St # B, Vidalia, LA 71373-3143 Ph: (318) 414-3065 | Breanna Ciera Frye, 1644 Carter St # B, Vidalia, LA 71373-3143 Ph: (318) 414-3065 |
Dominique Trimble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Spruce St, Vidalia, LA 71373 Phone: 225-421-7183 | |
Lynncoy Thornburg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Airport Rd, Vidalia, LA 71373 Phone: 318-323-1300 Fax: 318-323-1400 | |
Kimberly Simpson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Airport Rd, Vidalia, LA 71373 Phone: 318-323-1300 Fax: 318-323-1400 | |
Amber J Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Carter St, Vidalia, LA 71373 Phone: 313-414-3065 | |
Valerie Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Carter St, Suite 2, Vidalia, LA 71373 Phone: 318-414-3065 | |
Doris Jean Jefferson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Airport Rd, Vidalia, LA 71373 Phone: 318-323-1300 Fax: 318-323-1400 | |
Victoria Profit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Carter St # B, Vidalia, LA 71373 Phone: 318-414-3065 |