Provider Demographics
NPI:1609473123
Name:FREED, LENA (LCMHC, LPC)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:FREED
Suffix:
Gender:F
Credentials:LCMHC, LPC
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:FREED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:261 OLD YORK RD STE 318
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3709
Mailing Address - Country:US
Mailing Address - Phone:215-885-3337
Mailing Address - Fax:
Practice Address - Street 1:261 OLD YORK RD STE 318
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3709
Practice Address - Country:US
Practice Address - Phone:215-885-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016433101YP2500X
VT068-0134250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health