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General NPI Number Information
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NPI Number | 1477447019
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Entity Type | Organization
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Legal Business Name | FREEHEART ENTERPRISE
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 15921 E TREVINO DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-5630
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Country | US
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Telephone | 928-417-8759
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Fax |
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Provider Business Mailing Address
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Address Line | 15921 E TREVINO DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-5630
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Country | US
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Telephone | 928-417-8759
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR FREEHEART E.
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Name | HALEY BRIANN EBERHART
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Credential | CPSS, BCS, CNC,CPT,
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Telephone | 928-417-8751
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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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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