MEDICARE: A FREEMAN'S PLACE COUNSELING, 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	251S00000X	Community/Behavioral Health Agency	37PC00463500	NJ
2	251S00000X	Community/Behavioral Health Agency
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1871949214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A FREEMAN'S PLACE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	190 ROUTE 18 STE 304
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-1407
Country	:	US
Telephone Number	:	732-333-0520
Fax Number	:	732-333-0530

Provider Business Practice Location Address
First Line	:	190 ROUTE 18 STE 304
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-1407
Country	:	US
Telephone Number	:	732-333-8520
Fax Number	:	732-333-8520

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. BRITTANY FREEMAN-ANDERSON
Credential	:	LPC
Telephone Number	:	732-333-0520

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	12/09/2025

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