Healthcare Provider Details
I. General information
NPI: 1073485710
Provider Name (Legal Business Name): HUMAN FREELY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7320 GRIFFIN RD STE 214
DAVIE FL
33314-4105
US
IV. Provider business mailing address
7320 GRIFFIN RD STE 214
DAVIE FL
33314-4105
US
V. Phone/Fax
- Phone: 954-604-6070
- Fax: 954-569-3773
- Phone: 954-604-6070
- Fax: 954-569-3773
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERICA
KRIDER
Title or Position: CEO
Credential: LMHC
Phone: 954-480-3665