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General NPI Number Information
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NPI Number | 1811815285
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Entity Type | Organization
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Legal Business Name | FREESTYLE THERAPY LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 4849 GREENVILLE AVE STE 100
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City | DALLAS
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State | TX
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Zip | 75206-4187
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Country | US
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Telephone | 214-718-4338
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Fax |
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Provider Business Mailing Address
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Address Line | 4849 GREENVILLE AVE STE 100
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City | DALLAS
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State | TX
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Zip | 75206-4187
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Country | US
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Telephone | 214-718-4338
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Fax |
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Authorized Official
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Title or Position | OWNER AND LEAD THERAPIST
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Name | CASSANDRA HOLT KIMBELL
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Credential | LPC, LPCC-S, NCC
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Telephone | 972-885-0106
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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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