Provider Demographics
NPI:1952626806
Name:FREEDOM AND THE SEED, LLC
Entity Type:Organization
Organization Name:FREEDOM AND THE SEED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:MARINAH
Authorized Official - Middle Name:VALENZUELA
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:602-793-5063
Mailing Address - Street 1:170 S ASH AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2832
Mailing Address - Country:US
Mailing Address - Phone:480-528-1689
Mailing Address - Fax:480-967-2210
Practice Address - Street 1:170 S ASH AVE
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2832
Practice Address - Country:US
Practice Address - Phone:480-528-1689
Practice Address - Fax:480-967-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLM143176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty