MEDICARE: MS. MAURIE CHRISTINA FREED LMFT

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	106H00000X	Marriage & Family Therapist	537	GA

General Provider Information

NPI Number	:	1982721700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAURIE CHRISTINA FREED LMFT

Provider Business Mailing Address
First Line	:	1295 E. ROCK SPRINGS RD. NE APT 119
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306
Country	:	US
Telephone Number	:	404-323-9855
Fax Number	:	404-325-7479

Provider Business Practice Location Address
First Line	:	1295 E. ROCK SPRINGS RD NE APT 119
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-2337
Country	:	US
Telephone Number	:	404-323-9855
Fax Number	:	404-325-7479

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

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	06/19/2023

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