Provider Demographics
NPI:1578235164
Name:FREEDOM-FOCUSED COUNSELING LLC
Entity Type:Organization
Organization Name:FREEDOM-FOCUSED COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAURANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-A
Authorized Official - Phone:636-439-7400
Mailing Address - Street 1:7508 LUMINARY DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-6473
Mailing Address - Country:US
Mailing Address - Phone:636-439-7400
Mailing Address - Fax:949-557-6554
Practice Address - Street 1:7508 LUMINARY DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-6473
Practice Address - Country:US
Practice Address - Phone:636-439-7400
Practice Address - Fax:949-557-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)