Provider Demographics
NPI:1831722115
Name:FREE TO BE MENTAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:FREE TO BE MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-429-0718
Mailing Address - Street 1:851 CORPORATE DR STE 250
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-5442
Mailing Address - Country:US
Mailing Address - Phone:859-429-0718
Mailing Address - Fax:418-431-0407
Practice Address - Street 1:851 CORPORATE DR STE 250
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-5442
Practice Address - Country:US
Practice Address - Phone:859-429-0718
Practice Address - Fax:418-431-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-15
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty