Provider Demographics
NPI:1881283646
Name:FREEDOM MINISTRY ENHANCEMENT CENTER
Entity type:Organization
Organization Name:FREEDOM MINISTRY ENHANCEMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY LIFE COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KANSIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-800-5824
Mailing Address - Street 1:23712 FELCH ST
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5226
Mailing Address - Country:US
Mailing Address - Phone:216-800-5824
Mailing Address - Fax:
Practice Address - Street 1:23712 FELCH ST
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5226
Practice Address - Country:US
Practice Address - Phone:216-800-5824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health