Travis Eugene Frye | Phoenix, AZ • PECOS Search

Travis Eugene Frye

Counselor

Behavioral Health & Social Service Providers

4614 E Shea Blvd, Suite D-250, Phoenix, AZ 85028-3070

(602) 953-9070 (602) 316-7134

PECOS Enrollment

Based on the most recent information from CMS, provider Travis Eugene Frye does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1366410029
Provider Type
Individual
Full Name
Frye, Travis Eugene
Title
Mr.
Credential
LPC

Gender
Male
Sole Proprietor
No
Enumeration Date
3/9/2006
Last Updated
2/4/2009

Contact Information

Practice Location

4614 E Shea Blvd, Suite D-250, Phoenix, AZ 85028-3070

Unlisted Fax

Mailing Location

39737 N High Noon Way, Anthem, AZ 85086-2376

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LPC-12149 Arizona