Organization Active NPI

Freedom Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • West Monroe, LA
National Provider Identifier
1760199558
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FREEDOM RECOVERY, LLC
Practice address
205 Grayson St
West Monroe, LA 71292-6231
Phone
(318) 570-5907
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Ms. Ashlee Bentz
Title
Administrator
Phone
(318) 570-5907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

205 Grayson St
West Monroe, LA 71292-6231

Mailing address

205 Grayson St
West Monroe, LA 71292-6231
Phone (318) 570-5907

Other identifiers 1

IdentifierTypeStateIssuer
88-2256058MedicaidLA

National Provider Directory

National Provider Directory

Locations

488 Britton Rd
Calhoun, LA 71225

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1760199558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRAYSON ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712926231",
            "telephone_number": "318-570-5907",
            "fax_number": "318-654-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRAYSON ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712926231",
            "telephone_number": "318-570-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-03-03",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BENTZ",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-570-5907",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88-2256058",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.