Provider Demographics
NPI:1386344398
Name:FRAZIER, MARISIA LACHAY (MA)
Entity type:Individual
Prefix:
First Name:MARISIA
Middle Name:LACHAY
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:MA
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2131 ELM HILL PIKE APT F132
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-3948
Mailing Address - Country:US
Mailing Address - Phone:704-397-6590
Mailing Address - Fax:
Practice Address - Street 1:1420 DONELSON PIKE STE B19
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2999
Practice Address - Country:US
Practice Address - Phone:629-255-0586
Practice Address - Fax:629-237-2500
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)