Provider Demographics
NPI:1013599125
Name:FREEDOM PSYCHOTHERAPY & WELLNESS SERVICES PLLC
Entity Type:Organization
Organization Name:FREEDOM PSYCHOTHERAPY & WELLNESS SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NADIE
Authorized Official - Middle Name:JUSTINE
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-723-9872
Mailing Address - Street 1:10505 TOWN AND COUNTRY WAY STE 79763
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2214
Mailing Address - Country:US
Mailing Address - Phone:832-779-0688
Mailing Address - Fax:
Practice Address - Street 1:10505 TOWN AND COUNTRY WAY STE 79763
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2214
Practice Address - Country:US
Practice Address - Phone:832-779-0688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty