Provider Demographics
NPI:1699106898
Name:FRITZ, TRICIA GAIL (LPCC)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:GAIL
Last Name:FRITZ
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BRIARLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-1428
Mailing Address - Country:US
Mailing Address - Phone:330-241-0090
Mailing Address - Fax:
Practice Address - Street 1:25111 COUNTRY CLUB BLVD
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5345
Practice Address - Country:US
Practice Address - Phone:164-685-0002
Practice Address - Fax:216-456-8128
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1200077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health