| Freedom Counseling Services, Llc | |
|
379 Fennell Blvd. Lady Lake FL 32159 | |
| (352) 633-5253 | |
| Not Available |
| Full Name | Freedom Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 379 Fennell Blvd., Lady Lake, Florida |
| Authorized Official Name and Position | Jana Marie Liptak (OWNER/THERAPIST) |
| Authorized Official Contact | 3526335253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Counseling Services, Llc 379 Fennell Blvd. Lady Lake FL 32159 Ph: (352) 633-5253 | Freedom Counseling Services, Llc 379 Fennell Blvd. Lady Lake FL 32159 Ph: (352) 633-5253 |
| NPI Number | 1396427639 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 2769834340 |
|---|---|
| Medicare Enrollment ID | O20240118004576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396427639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jana Marie Liptak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538788039 PECOS PAC ID: 5698127678 Enrollment ID: I20240115001732 |
| Provider Name | Alaina Marie Potter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669245189 PECOS PAC ID: 8123460961 Enrollment ID: I20240524002783 |
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