Organization Active NPI

Freedom Therapy Center, LLC

  • Adult Mental Health Clinic/Center
  • Alexandria, LA
National Provider Identifier
1043753262
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FREEDOM THERAPY CENTER, LLC
Practice address
1102 Texas Ave
Alexandria, LA 71301-4835
Phone
(318) 613-0147
NPI assigned
Nov 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Ms. Danielle D Bailey, LCSWNPI 1033567672
Title
Ceo
Phone
(318) 613-0147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1102 Texas Ave
Alexandria, LA 71301-4835

Mailing address

1102 Texas Ave
Alexandria, LA 71301-4835
Phone (318) 613-0147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220413001293 LA Part B Supplier - Clinic/Group Practice 3678969912 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

1102 Texas Ave
Alexandria, LA 71301
Phone (318) 613-0147

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1479513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1043753262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 TEXAS AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014835",
            "telephone_number": "318-613-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 TEXAS AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014835",
            "telephone_number": "318-613-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-19",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-613-0147",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.