| Freedom Counseling Center Inc | |
|
2801 Donahue Ferry Rd Pineville LA 71360-4513 | |
| (318) 641-0008 | |
| (318) 641-1685 |
| Full Name | Freedom Counseling Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2801 Donahue Ferry Rd, Pineville, Louisiana |
| Authorized Official Name and Position | Carolyn Ashcraft Puckett (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3186410008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Counseling Center Inc 2801 Donahue Ferry Road Pineville LA 71360 Ph: (318) 641-0008 | Freedom Counseling Center Inc 2801 Donahue Ferry Rd Pineville LA 71360-4513 Ph: (318) 641-0008 |
| NPI Number | 1124201793 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Medicare PECOS PAC ID | 5991820888 |
|---|---|
| Medicare Enrollment ID | O20100915001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124201793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3066 (Louisiana) | Primary |
| Provider Name | Carolyn Puckett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376650424 PECOS PAC ID: 6709901697 Enrollment ID: I20100915001034 |
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