Selena Freeman, MS, CCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C0023 Issued in GA

Practice address

175 Gwinnett Dr
Lawrenceville, GA 30045-8444

Phone

(770) 339-5377

Fax

(770) 339-5016

NPI assigned

Feb 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1437337052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SIGMAN RD NE",
            "address_2": "#F44",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123806",
            "telephone_number": "770-648-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GWINNETT DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458444",
            "telephone_number": "770-339-5377",
            "fax_number": "770-339-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "SELENA",
        "name_prefix": "Ms.",
        "credential": "MS, CCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Path Counseling Inc
• Charles Jordan Freeman, MD
• Davidetta Freeman, SFA, CST
• James Roe Freeman, M.D.
• Leslie S Freeman, PAAA
• Taheerah D Freeman, FNP
• Douglas J Freiberger, M.D.
• Stacey P French
• Neal Frenkel, MD
• Fresenius Medical Care Central Lawrenceville, LLC

• Addiction (Substance Use Disorder) Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.