Provider Demographics
NPI:1316111339
Name:FRISCO PSYCHOTHERAPY SERVICES, P.A.
Entity type:Organization
Organization Name:FRISCO PSYCHOTHERAPY SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-387-0500
Mailing Address - Street 1:9555 LEBANON RD
Mailing Address - Street 2:SUITE 903
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6095
Mailing Address - Country:US
Mailing Address - Phone:214-387-0500
Mailing Address - Fax:214-387-0504
Practice Address - Street 1:9555 LEBANON RD
Practice Address - Street 2:SUITE 903
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6095
Practice Address - Country:US
Practice Address - Phone:214-387-0500
Practice Address - Fax:214-387-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty