Active NPI
Freedom Therapy and Coaching Services LLC
- Mental Health Counselor
- Decatur, GA
National Provider Identifier
1346059375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FREEDOM THERAPY AND COACHING SERVICES LLC
- Practice address
- 3680 Citation Dr
Decatur, GA 30034-2132 - Phone
- (470) 316-0176
- NPI assigned
- Jan 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyuana L Herring, LPC
- Title
- Owner
- Phone
- (470) 316-0176
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
3680 Citation Dr
Decatur, GA 30034-2132
Mailing address
5304 Panola Industrial Blvd Ste M
Decatur, GA 30035-4065
National Provider Directory
National Provider DirectoryPractitioners & 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": "1735862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735862400000",
"number": "1346059375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 PANOLA INDUSTRIAL BLVD STE M",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 CITATION DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300342132",
"telephone_number": "470-316-0176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM THERAPY AND COACHING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A",
"authorized_official_last_name": "HERRING",
"authorized_official_first_name": "TYUANA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-316-0176",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.