Freedom Christian Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC10536 Issued in ME

Legal business name

FREEDOM CHRISTIAN COUNSELING, PLLC

Practice address

721 Bath Rd
Wiscasset, ME 04578-4830

Phone

(207) 882-5300

NPI assigned

Apr 13, 2018

Organization subpart

No

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

Authorized official

Name

Teresa Clark, LCSW, LADC, CCS

Title

Counselor

Phone

(207) 882-5300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1447747696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 BATH RD",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784830",
            "telephone_number": "207-882-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BATH RD",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784830",
            "telephone_number": "207-882-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHRISTIAN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "207-882-5300",
        "authorized_official_credential": "LCSW, LADC, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC3953",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Adams Downs, PA-C
• Edward B Kitfield III
• Eldercarenetwork of Lincoln County
• Engage Senior Therapy Inc
• Patricia Evans, MD
• Daniel M. Friedland, M.D.
• Genoa Healthcare LLC
• Allary R. Grasso, L.M.S.W.-CC
• Dana Lori Greenleaf, NP
• Jeffrey William Grosser, DDS

• Clinical Social Worker in Wiscasset, ME
• Providers in Wiscasset, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.