MEDICARE: LIVING FREE RECOVERY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	830992-2-CDT	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0C20LI	OTHER	MN	BCBS OF MN
3	8442759	OTHER	MN	UBH - ADULT
4	8446051	OTHER	MN	UBH- ASSESSMENT ONLY
5	8442760	OTHER	MN	UBH - ADOLESCENT
6	8442761	OTHER	FM	UBH - RELAPSE

General Provider Information

NPI Number	:	1144227430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING FREE RECOVERY SERVICES, LLC

Provider Business Mailing Address
First Line	:	9201 75TH AVENUE NORTH
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428
Country	:	US
Telephone Number	:	763-315-7000
Fax Number	:	763-315-7177

Provider Business Practice Location Address
First Line	:	9201 75TH AVENUE NORTH
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428
Country	:	US
Telephone Number	:	763-315-7000
Fax Number	:	763-315-7177

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TREENA HAASE
Credential	:
Telephone Number	:	763-315-7174

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	11/01/2017

Similar Medicare Providers

1033185830 — DR. FOUAD GEORGE AZZAM M.D.
Practice Location Address:

7101 NORTHLAND CIR N , SUITE 209
BROOKLYN PARK, MN
55428-1517

Practice Phone: 763-531-2030
Practice Fax: 763-531-2099

1285681940 — DANE TECHNOLOGIES, INC.
Practice Location Address:

7105 NORTHLAND TER N
BROOKLYN PARK, MN
55428-1534

Practice Phone: 763-544-7779
Practice Fax: 763-582-0442

1194757468 — CENTERWELL CERTIFIED HEALTHCARE CORP.
Practice Location Address:

7101 NORTHLAND CIR N STE 101
BROOKLYN PARK, MN
55428-1517

Practice Phone: 763-416-0289
Practice Fax:

1669490066 — DR. CAROLYN DOROTHY PARSONS PSYD, LP
Practice Location Address:

7040 LAKELAND AVE NORTH , #208 PARSONS PSYCHOLOGICAL SERVICES, LLC
BROOKLYN PARK, MN
55428

Practice Phone: 763-566-1174
Practice Fax: 763-503-4692

1144244047 — MR. DUANE G SCHAEFER LADC
Practice Location Address:

9201 75TH AVE N
BROOKLYN PARK, MN
55428-1024

Practice Phone: 633-157-1707
Practice Fax: 763-315-7174

1730193954 — DR. ELLEN LOWERY PH.D., LP
Practice Location Address:

7600 BOONE AVE N , SUITE 2
BROOKLYN PARK, MN
55428-4563

Practice Phone: 763-515-2450
Practice Fax:

Directions to “LIVING FREE RECOVERY SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.