Provider Demographics
NPI:1376293373
Name:MARK A FREEMAN COUNSELING LLC
Entity Type:Organization
Organization Name:MARK A FREEMAN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-992-6136
Mailing Address - Street 1:6 BEAVER PARK UNIT 1
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-2008
Mailing Address - Country:US
Mailing Address - Phone:617-992-6136
Mailing Address - Fax:
Practice Address - Street 1:27 HIGH PLAIN RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3318
Practice Address - Country:US
Practice Address - Phone:617-992-6136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty