Provider Demographics
NPI:1699466698
Name:FRANK, ALICIA SUE (LMHC)
Entity type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:SUE
Last Name:FRANK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:SUE
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:304 INDIAN TRCE # 730
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2996
Mailing Address - Country:US
Mailing Address - Phone:954-648-7874
Mailing Address - Fax:954-756-7518
Practice Address - Street 1:2605 WESTON RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3614
Practice Address - Country:US
Practice Address - Phone:954-648-7874
Practice Address - Fax:954-756-7518
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health