| Freedom Therapy Center, Llc | |
|
1102 Texas Ave Alexandria LA 71301-4835 | |
| (318) 613-0147 | |
| Not Available |
| Full Name | Freedom Therapy Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 Texas Ave, Alexandria, Louisiana |
| Authorized Official Name and Position | Danielle D Bailey (CEO) |
| Authorized Official Contact | 3186130147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Therapy Center, Llc 1102 Texas Ave Alexandria LA 71301-4835 Ph: (318) 613-0147 | Freedom Therapy Center, Llc 1102 Texas Ave Alexandria LA 71301-4835 Ph: (318) 613-0147 |
| NPI Number | 1043753262 |
|---|---|
| Provider Enumeration Date | 11/19/2016 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 3678969912 |
|---|---|
| Medicare Enrollment ID | O20220413001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043753262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Danielle D Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033567672 PECOS PAC ID: 1355624123 Enrollment ID: I20170202000906 |
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