Healthcare Provider Details

I. General information

NPI: 1164024238
Provider Name (Legal Business Name): FREELEE INTEGRATED HEALTH WEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 NEW CASTLE AVE STE 3
NEW CASTLE DE
19720-2174
US

IV. Provider business mailing address

3125 NEW CASTLE AVE STE 3
NEW CASTLE DE
19720-2174
US

V. Phone/Fax

Practice location:
  • Phone: 302-277-7161
  • Fax: 302-566-2853
Mailing address:
  • Phone: 302-277-7161
  • Fax: 302-566-2853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. KEONNA FREEMAN
Title or Position: OWNER/HOLISTIC HEALTH PRACTITIONER
Credential: DSOCSCI, BCHHP, CFLE
Phone: 302-607-8053