Organization Active NPI

William 'Bill' Freeman Foundation Inc.

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1255646816
Registry record updated Aug 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILLIAM 'BILL' FREEMAN FOUNDATION INC.
Practice address
604 Glen Iris Dr NE
Atlanta, GA 30308-2717
Phone
(336) 306-3738
NPI assigned
Aug 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2010

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

Authorized official

Name
Mr. Brian Bowles
Title
Administrator
Phone
(336) 306-3738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

604 Glen Iris Dr NE
Atlanta, GA 30308-2717

Mailing address

604 Glen Iris Dr NE
Atlanta, GA 30308-2717

National Provider Directory

National Provider Directory

Locations

604 Glen Iris Dr NE
Atlanta, GA 30308
Phone (336) 306-3738

NPI Registry JSON

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

{
    "created_epoch": "1281139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281139200000",
    "number": "1255646816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 GLEN IRIS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 GLEN IRIS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082717",
            "telephone_number": "336-306-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM 'BILL' FREEMAN FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-07",
        "last_updated": "2010-08-07",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-306-3738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2010; 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.