Provider Demographics
NPI:1033379086
Name:FREEDOM MINISTRIES, INC.
Entity Type:Organization
Organization Name:FREEDOM MINISTRIES, INC.
Other - Org Name:FREEDOM MINISTRIES COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:TRAVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:316-945-3733
Mailing Address - Street 1:2214 N AMARADO CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1508
Mailing Address - Country:US
Mailing Address - Phone:316-945-3733
Mailing Address - Fax:
Practice Address - Street 1:6700 W CENTRAL AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-6302
Practice Address - Country:US
Practice Address - Phone:316-945-3733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty