Truefreedom Recovery Center | |
1016 1/2 W 21st Ave Covington LA 70433-7443 | |
(985) 276-4165 | |
(337) 217-3525 |
Full Name | Truefreedom Recovery Center |
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Speciality | Clinic/Center |
Location | 1016 1/2 W 21st Ave, Covington, Louisiana |
Authorized Official Name and Position | Amanda Warner (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 9852764165 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Truefreedom Recovery Center 1016 1/2 W 21st Ave Covington LA 70433-7443 Ph: (985) 276-4165 | Truefreedom Recovery Center 1016 1/2 W 21st Ave Covington LA 70433-7443 Ph: (985) 276-4165 |
NPI Number | 1114655834 |
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Provider Enumeration Date | 08/10/2022 |
Last Update Date | 01/03/2025 |
Certification Date | 01/03/2025 |
Medicare PECOS PAC ID | 5193262293 |
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Medicare Enrollment ID | O20240807002311 |
Identifier | Type | State | Issuer |
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1114655834 | NPI | - | NPPES |
Provider Name | Crystal Younger |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1003540139 PECOS PAC ID: 7719424811 Enrollment ID: I20240807002789 |
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