Healthcare Provider Details

I. General information

NPI: 1215858741
Provider Name (Legal Business Name): CHAOS & KINDNESS BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3476 HOLDEN RD
HOLDEN WV
25625-9715
US

IV. Provider business mailing address

3476 HOLDEN RD
HOLDEN WV
25625-9715
US

V. Phone/Fax

Practice location:
  • Phone: 304-687-4715
  • Fax:
Mailing address:
  • Phone:
  • 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: STEPHANIE FREEMAN
Title or Position: OWNER
Credential: MS, MBA, LPC
Phone: 304-687-4715