Healthcare Provider Details

I. General information

NPI: 1922511997
Provider Name (Legal Business Name): FREEING MINDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 ISLAND ST
LAWRENCE MA
01840-1835
US

IV. Provider business mailing address

60 ISLAND ST
LAWRENCE MA
01840-1835
US

V. Phone/Fax

Practice location:
  • Phone: 508-954-9944
  • Fax:
Mailing address:
  • Phone: 508-954-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TREVOR S CALCULATOR
Title or Position: LMHC
Credential: LMHC
Phone: 508-954-9944