Provider Demographics
NPI:1912458365
Name:FREEMAN, CHANDRA (LMSW, LCDC-I)
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LMSW, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18788 MARSH LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-3500
Mailing Address - Country:US
Mailing Address - Phone:940-202-9387
Mailing Address - Fax:
Practice Address - Street 1:914 COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226
Practice Address - Country:US
Practice Address - Phone:940-464-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62956104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker