Healthcare Provider Details

I. General information

NPI: 1245914837
Provider Name (Legal Business Name): FREEDOM THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 S SUPERIOR ST
ALBION MI
49224-2128
US

IV. Provider business mailing address

13 N WASHINGTON ST STE 519
YPSILANTI MI
48197-2617
US

V. Phone/Fax

Practice location:
  • Phone: 269-929-4029
  • Fax:
Mailing address:
  • Phone: 517-781-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NAOMI SMITH
Title or Position: OWNER
Credential:
Phone: 517-781-8988