Provider Demographics
NPI:1134985088
Name:FREE SPIRIT FARM PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:FREE SPIRIT FARM PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:781-812-6052
Mailing Address - Street 1:40 WOODLAWN CIR
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-3501
Mailing Address - Country:US
Mailing Address - Phone:781-812-6052
Mailing Address - Fax:
Practice Address - Street 1:40 WOODLAWN CIR
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-3501
Practice Address - Country:US
Practice Address - Phone:781-812-6052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty