Freedom Life Therapy and Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FREEDOM LIFE THERAPY AND WELLNESS, LLC

Practice address

101 Centerpoint Dr Ste 214
Middletown, CT 06457-7568

Phone

(860) 517-4352

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Laqueshia Clemons, LCSWNPI 1902334477

Title

Owner

Phone

(860) 796-3069

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laqueshia Clemons, LCSW

  • Clinical Social Worker
  • Middletown, CT
  • NPI 1902334477
  NPD Authorized official
• Jessenia Baez

  • Social Worker
  • Middletown, CT
  • NPI 1992539001
  NPD

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1730780818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CENTERPOINT DR STE 214",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577568",
            "telephone_number": "860-517-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTERPOINT DR STE 214",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577568",
            "telephone_number": "860-517-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM LIFE THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "LAQUESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-796-3069",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Fournier
• Kimberly Fournier, LCSW
• Tanya Lyka Dumaloan Franco, C-SLPA
• Wayne P Franco, MD
• Stephen M Franklin, MD
• Calie Marie Niedzwiecki French, LPC
• Joshua Colter Freund, PA
• Emily Juliana Friedman
• Sandra Frimel, PAC
• Richard O Frink, MD

• Community/Behavioral Health Agency in Middletown, CT
• Providers in Middletown, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.