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General NPI Number Information
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NPI Number | 1023824943
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Entity Type | Organization
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Legal Business Name | THE FREEDOM CENTER, INC.
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 419 EAST STREET TOP FLOOR
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City | MADISON
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State | IN
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Zip | 47250
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Country | US
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Telephone | 812-818-2900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 298
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City | MADISON
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State | IN
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Zip | 47250-0298
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Country | US
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Telephone | 812-274-5379
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LIZ COOPER
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Credential | LMFT
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Telephone | 812-274-5379
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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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