=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528935525
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FREEMAN COUNSELING & PLAY THERAPY, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/22/2025
-----------------------------------------------------
Last Update Date | 10/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 E MORGAN ST
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62650-2587
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-666-2683
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9 BRIARWYCK DR
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62650-1779
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-666-2683
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST, OWNER
-----------------------------------------------------
Name | SARAH FREEMAN
-----------------------------------------------------
Credential | LCSW, LSCSW, RPT
-----------------------------------------------------
Telephone | 217-666-2683
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------