MEDICARE: MRS. BERTRONA FREEMAN LPC

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
1	101YP2500X	Professional Counselor	LPC013073	GA
2	101YM0800X	Mental Health Counselor	MH26785	FL

General Provider Information

NPI Number	:	1275253999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BERTRONA FREEMAN LPC

Provider Business Mailing Address
First Line	:	1799 ACORN RIDGE TRL
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-5141
Country	:	US
Telephone Number	:	850-345-2882
Fax Number	:

Provider Business Practice Location Address
First Line	:	1799 ACORN RIDGE TRL
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-5141
Country	:	US
Telephone Number	:	850-345-2882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	12/10/2025

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