Provider Demographics
NPI:1043744345
Name:REINS OF FREEDOM
Entity Type:Organization
Organization Name:REINS OF FREEDOM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KASPER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:614-633-5946
Mailing Address - Street 1:3 W MAIN ST
Mailing Address - Street 2:203
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2195
Mailing Address - Country:US
Mailing Address - Phone:614-633-5946
Mailing Address - Fax:614-392-5448
Practice Address - Street 1:3 W MAIN ST
Practice Address - Street 2:203
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2195
Practice Address - Country:US
Practice Address - Phone:614-633-5946
Practice Address - Fax:614-392-5448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1000309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty