Provider Demographics
NPI:1396990107
Name:FRANK, KATHLEEN (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 S PALM AVE UNIT 10
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7746
Mailing Address - Country:US
Mailing Address - Phone:941-962-6300
Mailing Address - Fax:727-263-3658
Practice Address - Street 1:777 S PALM AVE UNIT 10
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7746
Practice Address - Country:US
Practice Address - Phone:941-962-6300
Practice Address - Fax:727-263-3658
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3823-125101YP2500X
FLMH15819101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100000946Medicaid