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General NPI Number Information
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NPI Number | 1013526813
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Entity Type | Organization
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Legal Business Name | FREEMAN COUNSELING LLC
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 2625 KEYSTONE RD STE A4
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-7436
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Country | US
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Telephone | 727-286-0740
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Fax | 727-279-4644
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Provider Business Mailing Address
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Address Line | 1713 HARBOR OAKS DR
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-1708
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Country | US
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Telephone | 727-286-0740
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Fax | 727-279-4644
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Authorized Official
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Title or Position | OWNER
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Name | MS. JILL FREEMAN
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Credential | LMHC
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Telephone | 172-728-6074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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