Organization Active NPI

Freelee Integrated Health Wealth LLC

  • Mental Health Counselor
  • New Castle, DE
National Provider Identifier
1164024238
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREELEE INTEGRATED HEALTH WEALTH LLC
Practice address
3125 New Castle Ave Ste 3
New Castle, DE 19720-2174
Phone
(302) 277-7161
Fax
(302) 566-2853
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Dr. Keonna Freeman, DSOCSCI, BCHHP, CFLE
Title
Owner/Holistic Health Practitioner
Phone
(302) 607-8053

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X

Addresses

Primary practice location

3125 New Castle Ave Ste 3
New Castle, DE 19720-2174

Mailing address

3125 New Castle Ave Ste 3
New Castle, DE 19720-2174
Phone (302) 277-7161

Other identifiers 1

IdentifierTypeStateIssuer
250699919MedicaidDE

National Provider Directory

National Provider Directory

Locations

3125 New Castle Ave
Ste 3
New Castle, DE 19720
Phone (302) 277-7161

15 Omega Dr
#K1
Newark, DE 19713

Practitioners & affiliated clinicians

Practitioners 1

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": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1164024238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 NEW CASTLE AVE STE 3",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202174",
            "telephone_number": "302-277-7161",
            "fax_number": "302-566-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 NEW CASTLE AVE STE 3",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202174",
            "telephone_number": "302-277-7161",
            "fax_number": "302-566-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREELEE INTEGRATED HEALTH WEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KEONNA",
        "authorized_official_title_or_position": "OWNER/HOLISTIC HEALTH PRACTITIONER",
        "authorized_official_telephone_number": "302-607-8053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSOCSCI, BCHHP, CFLE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250699919",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.