Provider Demographics
NPI:1013526813
Name:FREEMAN COUNSELING LLC
Entity Type:Organization
Organization Name:FREEMAN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:172-728-6074
Mailing Address - Street 1:1713 HARBOR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-1708
Mailing Address - Country:US
Mailing Address - Phone:727-286-0740
Mailing Address - Fax:727-279-4644
Practice Address - Street 1:2625 KEYSTONE RD STE A4
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34688-7436
Practice Address - Country:US
Practice Address - Phone:727-286-0740
Practice Address - Fax:727-279-4644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty