Provider Demographics
NPI:1083080840
Name:BE FREE COUNSELING
Entity Type:Organization
Organization Name:BE FREE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAISI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:EYERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-765-1045
Mailing Address - Street 1:1229 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-3305
Mailing Address - Country:US
Mailing Address - Phone:814-765-1045
Mailing Address - Fax:814-765-8489
Practice Address - Street 1:1229 S 2ND ST
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-3305
Practice Address - Country:US
Practice Address - Phone:814-765-1045
Practice Address - Fax:814-765-8489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0172061041C0700X, 1041C0700X
PASW131985104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty