Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Jackson Frazier

Individual provider Mental Health Counselor · NPI 1083491823

Beverly Jackson Frazier is a Mental Health Counselor in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (248) 686-9634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401004160 (MI)

Record details

NPI number1083491823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2023
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address14799 Dix Toledo Rd, Southgate, MI 48195-2507

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