MEDICARE: FLIGHT TO FREEDOM COUNSELING

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1639966377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLIGHT TO FREEDOM COUNSELING

Provider Business Mailing Address
First Line	:	2345 VIA INSPIRADA STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3027 E SUNSET RD STE 106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2758
Country	:	US
Telephone Number	:	406-671-3726
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY HICKS
Credential	:	LCPC LAC
Telephone Number	:	406-671-3726

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	04/24/2025

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Directions to “FLIGHT TO FREEDOM COUNSELING ” Practice Location

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