Healthcare Provider Details

I. General information

NPI: 1780541458
Provider Name (Legal Business Name): FREEDOM HAPPY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MAZZEO DR STE 216
RANDOLPH MA
02368-3433
US

IV. Provider business mailing address

PO BOX 2591
NATICK MA
01760-0019
US

V. Phone/Fax

Practice location:
  • Phone: 774-270-3733
  • Fax:
Mailing address:
  • Phone: 774-270-3733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KADIAN JAMES
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LICSW
Phone: 774-270-3733