Healthcare Provider Details

I. General information

NPI: 1881522530
Provider Name (Legal Business Name): FREEDOM WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2174 LOCUST ST S
CANAL FULTON OH
44614-9468
US

IV. Provider business mailing address

2174 LOCUST ST S
CANAL FULTON OH
44614-9468
US

V. Phone/Fax

Practice location:
  • Phone: 234-322-5753
  • Fax:
Mailing address:
  • Phone: 234-322-5753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELISA MARIE HERSHEY
Title or Position: OWNER, LPCC-S
Credential: LPCC-S
Phone: 234-322-5753