Freedom Counseling Llc | |
8350 W Grandridge Blvd Ste 200 Kennewick WA 99336-1678 | |
(509) 539-3730 | |
(833) 471-3350 |
Full Name | Freedom Counseling Llc |
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Speciality | Social Worker |
Location | 8350 W Grandridge Blvd Ste 200, Kennewick, Washington |
Authorized Official Name and Position | Brenda J Hollingsworth (OWNER) |
Authorized Official Contact | 5095393730 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Freedom Counseling Llc 8350 W Grandridge Blvd Ste 200 Kennewick WA 99336-1678 Ph: (509) 539-3730 | Freedom Counseling Llc 8350 W Grandridge Blvd Ste 200 Kennewick WA 99336-1678 Ph: (509) 539-3730 |
NPI Number | 1861832297 |
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Provider Enumeration Date | 06/29/2013 |
Last Update Date | 12/19/2018 |
Medicare PECOS PAC ID | 9537300348 |
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Medicare Enrollment ID | O20130719000765 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861832297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60343993 (Washington) | Primary |
Provider Name | Brenda J Hollingsworth |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578880001 PECOS PAC ID: 0446491252 Enrollment ID: I20130806000553 |
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