Freedom Mind and Body Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FREEDOM MIND AND BODY COUNSELING LLC

Doing business as

Freedom Mind and Body Counseling LLC

Practice address

3402 Griffin Rd
Fort Lauderdale, FL 33312-5564

Phone

(954) 951-1009

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Aryeh Blum, LMHCNPI 1922495217

Title

Owner

Phone

(954) 951-1009

Specialties & licenses 1

Addresses

Other names 1

• Freedom Mind and Body Counseling LLC Doing business as

Electronic endpoints 1

Practitioners 1

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

• Aryeh Blum

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1922495217
  NPD Authorized official

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1811628589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 SW 49TH PL",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128230",
            "telephone_number": "954-951-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125564",
            "telephone_number": "954-951-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3764 SW 49th Pl",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333128230",
            "country_code": "US",
            "telephone_number": "954-951-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM MIND AND BODY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "ARYEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-951-1009",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.freedommindandbody.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "3402 Griffin Rd",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333125564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Freedom Mind and Body Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth L. Frederick, LMFT
• Kristine Free, LPN
• Jonathan Freed, D.D.S.,P.A.
• Peter Freedland, MD
• Freedom Medical Services Inc
• Freels Mental Health Group, PA
• Michael Freels, LMHC
• Freeman Mobile Orthodontics, PLLC
• Freeman Orthodontics P.a.
• Dana Davis Freeman, LCSW

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.