Provider Demographics
NPI:1518583772
Name:FREED MIND CONSULTING LLC
Entity Type:Organization
Organization Name:FREED MIND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ONUKWUE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:914-984-3825
Mailing Address - Street 1:60 SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-3245
Mailing Address - Country:US
Mailing Address - Phone:914-984-3825
Mailing Address - Fax:
Practice Address - Street 1:1 S GREELEY AVE STE 3
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3344
Practice Address - Country:US
Practice Address - Phone:914-984-3825
Practice Address - Fax:914-449-6586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)