| Freedom Therapy Llc | |
|
1240 W Ranchito Ln Mequon WI 53092-6089 | |
| (414) 429-5792 | |
| Not Available |
| Full Name | Freedom Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1240 W Ranchito Ln, Mequon, Wisconsin |
| Authorized Official Name and Position | Joel Scott Winston (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 4144295792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Therapy Llc 1240 W Ranchito Ln Mequon WI 53092-6089 Ph: () - | Freedom Therapy Llc 1240 W Ranchito Ln Mequon WI 53092-6089 Ph: (414) 429-5792 |
| NPI Number | 1174993034 |
|---|---|
| Provider Enumeration Date | 10/04/2015 |
| Last Update Date | 10/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174993034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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