Provider Demographics
NPI:1497325005
Name:EVELYNN FREEMAN PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:EVELYNN FREEMAN PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER/PROFESSIONAL EMPLOYE
Authorized Official - Prefix:
Authorized Official - First Name:EVELYNN
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED , PLMHP
Authorized Official - Phone:402-401-4119
Mailing Address - Street 1:7553 LAWNDALE DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-4438
Mailing Address - Country:US
Mailing Address - Phone:402-677-2809
Mailing Address - Fax:
Practice Address - Street 1:805 S 75TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4670
Practice Address - Country:US
Practice Address - Phone:402-401-4119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-26
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty