Provider Demographics
NPI:1326522905
Name:FREEDOM COUNSELING LLC
Entity Type:Organization
Organization Name:FREEDOM COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EKATERINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MUSOK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-702-5082
Mailing Address - Street 1:23709 ESTERO CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-4885
Mailing Address - Country:US
Mailing Address - Phone:813-702-5082
Mailing Address - Fax:
Practice Address - Street 1:10335 CROSS CREEK BLVD STE 12
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2764
Practice Address - Country:US
Practice Address - Phone:813-702-5082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty