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General NPI Number Information
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NPI Number | 1447728530
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Entity Type | Organization
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Legal Business Name | FREEDOM FIGHTERS THERAPY, LLC
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Dates
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Enumeration Date | 11/06/2018
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 8139 OLD TROY PIKE # 1031
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-1067
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Country | US
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Telephone | 850-889-2880
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Fax | 937-762-6210
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Provider Business Mailing Address
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Address Line | 8139 OLD TROY PIKE # 1031
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-1067
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Country | US
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Telephone | 850-889-2880
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Fax | 937-762-6210
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | JERALYN RENEE' THARP
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Credential | LPCC
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Telephone | 850-889-2880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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