Healthcare Provider Details
I. General information
NPI: 1861051146
Provider Name (Legal Business Name): FINDING FREEDOM COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2019
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2450 DELHI COMMERCE DR STE 4
HOLT MI
48842-2193
US
IV. Provider business mailing address
PO BOX 10
MASON MI
48854-0010
US
V. Phone/Fax
- Phone: 517-303-4515
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARY BETH
HOUPT
Title or Position: CREDENTIALING
Credential:
Phone: 517-676-9797