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NPI Code Detail

MEDICARE: CONSCIOUS FREEDOM, LLC

MEDICARE: CONSCIOUS FREEDOM, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2103T00000XPsychologist
3111N00000XChiropractor
4133N00000XNutritionist
5133V00000XRegistered Dietitian
6171100000XAcupuncturist
7171M00000XCase Manager/Care Coordinator
8221700000XArt Therapist
9225100000XPhysical Therapist
10225600000XDance Therapist
11225700000XMassage Therapist
12225800000XRecreation Therapist
13225A00000XMusic Therapist
14225X00000XOccupational Therapist
151041C0700XClinical Social Worker

General Provider Information

NPI Number : 1033882246
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSCIOUS FREEDOM, LLC
Provider Business Mailing Address
First Line : 201 E DEBBIE LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2924
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 E DEBBIE LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2924
Country : US
Telephone Number : 972-333-8173
Fax Number :
Authorized Official
Title or Position : FOUNDER & OWNER
Name : KIERRA LLOYD
Credential : LCSW-S, RPT,
Telephone Number : 972-333-8173
Provider Enumeration Date : 07/26/2021
Last Update Date : 10/24/2022

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Directions to “CONSCIOUS FREEDOM, LLC ” Practice Location

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