MEDICARE: FREE YOURSELF 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1831674449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREE YOURSELF LLC

Provider Business Mailing Address
First Line	:	9992 SILVER MAPLE RD
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-5494
Country	:	US
Telephone Number	:	970-988-7765
Fax Number	:

Provider Business Practice Location Address
First Line	:	4140 TEJON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-1813
Country	:	US
Telephone Number	:	720-644-9007
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	TIMOTHY BLATTER
Credential	:
Telephone Number	:	720-644-9007

Provider Enumeration Date	:	09/28/2018
Last Update Date	:	03/23/2026

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Directions to “FREE YOURSELF LLC ” Practice Location

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