| The Freedom To Shine | |
|
2 N Main St Franklinton NC 27525-1357 | |
| (954) 560-5238 | |
| (888) 510-9071 |
| Full Name | The Freedom To Shine |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2 N Main St, Franklinton, North Carolina |
| Authorized Official Name and Position | Denise Y Melendez (BILLING DIRECTOR) |
| Authorized Official Contact | 9545605238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Freedom To Shine 2 N Main St Franklinton NC 27525-1357 Ph: (954) 560-5238 | The Freedom To Shine 2 N Main St Franklinton NC 27525-1357 Ph: (954) 560-5238 |
| NPI Number | 1356711170 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356711170 | NPI | - | NPPES |
| STATE LICENSE | Other | NC | P006302 |
| STATE LICENSE | Other | NC | 1912 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1912 (North Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | P006302 (North Carolina) | Secondary |
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