Freedom Recovery Center of Acadiana

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MD009000 Issued in LA

Legal business name

FREEDOM RECOVERY CENTER OF ACADIANA

Practice address

325 Kaliste Saloom Rd
Suite 100
Lafayette, LA 70508-3877

Phone

(337) 234-1490

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Paul BaudoinNPI 1699944272

Title

Owner

Phone

(337) 234-1490

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

Freedom Recovery Center of Acadiana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Recovery Center of Acadiana

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, LA
  • NPI 1366724759
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ellen Corry, MD

  • Anesthesiology Physician
  • Abbeville, LA
  • NPI 1326078213
  Medicare reassignment NPD
• Bruce Paul Baudoin, PA-C

  • Physician Assistant
  • Lafayette, LA
  • NPI 1699944272
  NPD Authorized official

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1518116227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81726",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981726",
            "telephone_number": "337-234-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 KALISTE SALOOM RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083877",
            "telephone_number": "337-234-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RECOVERY CENTER OF ACADIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "BAUDOIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-234-1490"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "MD009000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise D Frederick, APRN, CNS
• Taylor Boulet Frederick
• Terri H Frederick, LMT
• Thomas James Frederick Jr., PT
• Freedom Recovery Center of Acadiana
• Freeman Clinic LLC
• Asia Jones Freeman, MSW, LCSW
• Breyan Freeman, LCSW
• Crystal Freeman
• Mark E Freeman, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.