| Free Life Therapy Services Llc | |
|
11980 Haywood Valley Rd Summerville GA 30747-6831 | |
| (360) 527-5539 | |
| (360) 483-5139 |
| Full Name | Free Life Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11980 Haywood Valley Rd, Summerville, Georgia |
| Authorized Official Name and Position | Nakita Most (OWNER) |
| Authorized Official Contact | 3605275539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Life Therapy Services Llc 11980 Haywood Valley Rd Summerville GA 30747-6831 Ph: (360) 527-5539 | Free Life Therapy Services Llc 11980 Haywood Valley Rd Summerville GA 30747-6831 Ph: (360) 527-5539 |
| NPI Number | 1215543293 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Medicare PECOS PAC ID | 0547670150 |
|---|---|
| Medicare Enrollment ID | O20201111001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215543293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nakita Most |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700250644 PECOS PAC ID: 1456761063 Enrollment ID: I20201111001215 |
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