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General NPI Number Information
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NPI Number | 1336967298
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Entity Type | Organization
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Legal Business Name | FREEDOM COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 7135 US HIGHWAY 431 STE 5
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City | ALEXANDRIA
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State | AL
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Zip | 36250-4701
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Country | US
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Telephone | 256-600-1066
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 ALEXANDRIA WELLINGTON RD
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City | ALEXANDRIA
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State | AL
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Zip | 36250-6287
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Country | US
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Telephone | 256-600-1066
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DAVID A YINGLING
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Credential | LPC
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Telephone | 256-600-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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