Free Life Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FREE LIFE THERAPY SERVICES LLC

Practice address

11980 Haywood Valley Rd
Summerville, GA 30747-6831

Phone

(360) 527-5539

Fax

(360) 483-5139

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Nakita Most, MSW, LICSW

Title

Owner

Phone

(360) 527-5539

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elizabeth Watt, PSY.D.

  • Clinical Psychologist
  • Bellingham, WA
  • NPI 1235590142
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1215543293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 HAYWOOD VALLEY RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307476831",
            "telephone_number": "360-527-5539",
            "fax_number": "360-483-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 HAYWOOD VALLEY RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307476831",
            "telephone_number": "360-527-5539",
            "fax_number": "360-483-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE LIFE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "MOST",
        "authorized_official_first_name": "NAKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-527-5539",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Faul
• Deborah E. Faulkner, RN
• Floyd Healthcare Management, Inc
• Foothills Counseling, LLC
• Bobby Darrell Forrister, PHARMD
• Michael W Free, LCSW
• Rachel Galyon Trundle, PT
• Georgia CVS Pharmacy LLC
• Graceful Touch Healthcare Providers
• Andrew L Gray, R.PH.

• Clinical Social Worker in Summerville, GA
• Providers in Summerville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.