Provider Demographics
NPI:1740390327
Name:FREELS, LIANE (MD, ALC, CLC, NCC)
Entity Type:Individual
Prefix:
First Name:LIANE
Middle Name:
Last Name:FREELS
Suffix:
Gender:F
Credentials:MD, ALC, CLC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-6213
Mailing Address - Country:US
Mailing Address - Phone:931-698-7925
Mailing Address - Fax:
Practice Address - Street 1:623 S SEMINARY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5618
Practice Address - Country:US
Practice Address - Phone:931-698-7925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health