| Freedom Counseling Llc | |
|
471 W South St Ste 41b Kalamazoo MI 49007-4673 | |
| (269) 760-2235 | |
| Not Available |
| Full Name | Freedom Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 471 W South St Ste 41b, Kalamazoo, Michigan |
| Authorized Official Name and Position | Elizabeth Cary (SELF/OWNER) |
| Authorized Official Contact | 2697602235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Counseling Llc Po Box 19856 Kalamazoo MI 49019-0856 Ph: (269) 993-4499 | Freedom Counseling Llc 471 W South St Ste 41b Kalamazoo MI 49007-4673 Ph: (269) 760-2235 |
| NPI Number | 1669962411 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 02/27/2021 |
| Certification Date | 02/27/2021 |
| Medicare PECOS PAC ID | 5799033726 |
|---|---|
| Medicare Enrollment ID | O20180807002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669962411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Mallory Jane Averill Bitzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700319100 PECOS PAC ID: 9638552417 Enrollment ID: I20220811000266 |
| Provider Name | Suzanne Roche |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619443116 PECOS PAC ID: 1658817002 Enrollment ID: I20240723000369 |
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