Provider Demographics
NPI:1841596947
Name:NEW FREEDOM COUNSELING
Entity Type:Organization
Organization Name:NEW FREEDOM COUNSELING
Other - Org Name:NEW FREEDOM COUNSELING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:PETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-840-3116
Mailing Address - Street 1:202 CENTRAL AVE S STE 5
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072-3325
Mailing Address - Country:US
Mailing Address - Phone:701-845-2498
Mailing Address - Fax:701-845-9984
Practice Address - Street 1:202 CENTRAL AVE S STE 5
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072-3325
Practice Address - Country:US
Practice Address - Phone:701-845-2498
Practice Address - Fax:701-845-9984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1217251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health