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NPI Code Detail

MEDICARE: FREEDOM THERAPIES, INC.

MEDICARE: FREEDOM THERAPIES, INC.
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1871177204
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREEDOM THERAPIES, INC.
Provider Business Mailing Address
First Line : 1051 OAK MOUNTAIN DR
Second Line :
City : PELHAM
State : AL
Zip : 35124-1324
Country : US
Telephone Number : 205-358-7311
Fax Number : 205-319-1922
Provider Business Practice Location Address
First Line : 1051 OAK MOUNTAIN DR
Second Line :
City : PELHAM
State : AL
Zip : 35124-1324
Country : US
Telephone Number : 205-358-7311
Fax Number : 205-319-1922
Authorized Official
Title or Position : FOUNDER
Name : KIMBERLEE DANIELLE RIDER
Credential :
Telephone Number : 205-358-7311
Provider Enumeration Date : 05/11/2021
Last Update Date : 04/08/2025

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Directions to “FREEDOM THERAPIES, INC. ” Practice Location

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