Provider Demographics
NPI:1982721700
Name:FREED, MAURIE CHRISTINA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MAURIE
Middle Name:CHRISTINA
Last Name:FREED
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:MORI
Other - Middle Name:CHRISTINA
Other - Last Name:FREED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1295 E. ROCK SPRINGS RD. NE APT 119
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306
Mailing Address - Country:US
Mailing Address - Phone:404-323-9855
Mailing Address - Fax:404-325-7479
Practice Address - Street 1:1295 E. ROCK SPRINGS RD NE APT 119
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-2337
Practice Address - Country:US
Practice Address - Phone:404-323-9855
Practice Address - Fax:404-325-7479
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA537106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist