Provider Demographics
NPI:1306407887
Name:FREEDOM COUNSELING, COACHING, AND CONSULTING, LLC
Entity Type:Organization
Organization Name:FREEDOM COUNSELING, COACHING, AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:740-641-7222
Mailing Address - Street 1:PO BOX 4381
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43058-4381
Mailing Address - Country:US
Mailing Address - Phone:740-641-7222
Mailing Address - Fax:
Practice Address - Street 1:2174 KELLEY LN
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-8057
Practice Address - Country:US
Practice Address - Phone:740-641-7222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health