Healthcare Provider Details

I. General information

NPI: 1063332146
Provider Name (Legal Business Name): FREEDOM HEALTH BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5541 WESTERVILLE RD
WESTERVILLE OH
43081-9367
US

IV. Provider business mailing address

5541 WESTERVILLE RD
WESTERVILLE OH
43081-9367
US

V. Phone/Fax

Practice location:
  • Phone: 220-205-2035
  • Fax: 220-204-5434
Mailing address:
  • Phone: 220-205-2035
  • Fax: 220-204-5434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MS. IFEOMA ESTHER AGUDOSI
Title or Position: PMHNP
Credential: PMHNP
Phone: 614-738-3644