Provider Demographics
NPI:1275153330
Name:FREE SPIRIT COUNSELING LLC
Entity Type:Organization
Organization Name:FREE SPIRIT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORRIT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:858-255-4380
Mailing Address - Street 1:7252 LAKE FLOY CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7427
Mailing Address - Country:US
Mailing Address - Phone:607-229-8788
Mailing Address - Fax:407-209-0289
Practice Address - Street 1:612 E COLONIAL DR STE 390
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4650
Practice Address - Country:US
Practice Address - Phone:858-255-4380
Practice Address - Fax:409-209-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-19
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty