Freedom Recovery, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

145800 Issued in WA

Legal business name

FREEDOM RECOVERY, LLC

Practice address

715 E Yelm Ave Ste 6
Yelm, WA 98597-8714

Phone

(360) 960-8595

Fax

(253) 960-8594

NPI assigned

May 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Wayne Long, CDP

Title

Administrator

Phone

(360) 960-8595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Linndy Coopride, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Yelm, WA
  • NPI 1851935282
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1013444181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E YELM AVE STE 6",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978714",
            "telephone_number": "253-961-0116",
            "fax_number": "253-960-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E YELM AVE STE 6",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978714",
            "telephone_number": "360-960-8595",
            "fax_number": "253-960-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-960-8595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "145800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURED",
            "identifier": "145800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Fell
• Marie Leann Fierro
• Erin Patrice Flynn, M.D.
• Foot and Ankle Surgical Associates Inc PS
• Sara Foster, CD(DONA), RNA
• Rebecca Frey, PHARMD
• Laci Ann Friedley
• Renee M Frost, OT
• Jason Keith Furbush, PHARM.D.
• Teresa Irene Garrison, ARNP

• Substance Use Disorder Rehabilitation Clinic/Center in Yelm, WA
• Providers in Yelm, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.