FRIENDS OF FREEDOM HOUSE INC. NPI 1316587850

NPI Information

NPI: 1316587850
Provider Name: FRIENDS OF FREEDOM HOUSE INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
404 LAKE FRONT DRIVE
RUSSELLVILLE, AR
ZIP 72802
Phone: (479) 968-7086
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FRIENDS OF FREEDOM HOUSE INC. is a mental health counselor in Russellville, AR. FRIENDS OF FREEDOM HOUSE INC. NPI is 1316587850. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

404 LAKE FRONT DRIVE
RUSSELLVILLE, AR
ZIP 72802
Phone: (479) 968-7086

The provider's authorized official is Stephanie Garner .
The authorized official title is Ceo and has the following contact phone number (479) 219-5292.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 7/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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