Provider Demographics
NPI:1265989479
Name:FREEDOM COUNSELING
Entity type:Organization
Organization Name:FREEDOM COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BYERLY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, LSATP
Authorized Official - Phone:757-373-2221
Mailing Address - Street 1:5101 CLEVELAND ST STE 307
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6561
Mailing Address - Country:US
Mailing Address - Phone:757-373-2221
Mailing Address - Fax:757-321-0534
Practice Address - Street 1:5101 CLEVELAND ST STE 307
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6561
Practice Address - Country:US
Practice Address - Phone:757-373-2221
Practice Address - Fax:757-321-0534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty