Freestyle Supervision and Emdr Group LLC

Primary specialty

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

Legal business name

FREESTYLE SUPERVISION AND EMDR GROUP LLC

Practice address

4849 Greenville Ave Ste 100
Dallas, TX 75206-4187

Phone

(972) 885-0106

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Cassandra Holt, MSED, LPCC-S

Title

Clinical Co- Director

Phone

(972) 885-0106

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Cassandra Ann Holt Kimbell

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1104425628
  NPD
• Kathleen Sutherland, MSCP, AMFT, APCC

  • Marriage & Family Therapist
  • Dallas, TX
  • NPI 1083228084
  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1124879762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064187",
            "telephone_number": "972-885-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREESTYLE SUPERVISION AND EMDR GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CLINICAL CO- DIRECTOR",
        "authorized_official_telephone_number": "972-885-0106",
        "authorized_official_credential": "MSED, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Stewart Freeman, LCSW
• Roseanna Freeman, OPA C ST
• Tandy Rice Freeman III, M.D.
• Taylor M Freeman, LMFT
• Tyler Ray Freeman, MD
• Freestyle Therapy LLC
• Elisabeth Katerina Frei, M.D.
• Yuval Freifeld, MD
• Caitlin Freige, LCSW
• Marlaine Frelier

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.