Be Free Stay Free Family & Individual Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BE FREE STAY FREE FAMILY & INDIVIDUAL THERAPY LLC

Practice address

3626 Whitehall Dr Apt 206
West Palm Beach, FL 33401-1065

Phone

(561) 377-2373

NPI assigned

Aug 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Elder, LMFT, LMHCNPI 1720697915

Title

Ceo

Phone

(561) 377-2373

Specialties & licenses 3

Addresses

Other names 2

• Be Free Stay Free Other name
• Be Free Stay Free FIT Other name

Locations

Practitioners 1

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

• Patricia Elder, LMFT, LMHC

  • Marriage & Family Therapist
  • West Palm Beach, FL
  • NPI 1720697915
  NPD Authorized official

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596240000000",
    "number": "1013527431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 CLEMATIS ST UNIT 2474",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334025104",
            "telephone_number": "561-377-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 WHITEHALL DR APT 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011065",
            "telephone_number": "561-377-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE FREE STAY FREE FAMILY & INDIVIDUAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-377-2373",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Free Stay Free",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Be Free Stay Free FIT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard E Bazan, M.D.
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• Beach Gastro LLC
• Beachside Detox LLC
• Beachside Medical Care LLC
• Beachway Behavioral Health, LLC
• Beachway Therapy Center LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.