Freedom to Blossom

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FREEDOM TO BLOSSOM

Doing business as

Kayla Farabaugh, LCSW

Practice address

522 Kensington Park Dr
Canton, GA 30114-8828

Phone

(703) 867-2667

NPI assigned

Aug 5, 2022

Organization subpart

No

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

Authorized official

Name

Kayla Farabaugh, LCSWNPI 1194485011

Title

Member

Phone

(703) 867-2667

Specialties & licenses 1

Addresses

Other names 1

• Kayla Farabaugh, LCSW Doing business as

Locations

Practitioners 1

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

• Kayla Farabaugh, LCSW

  • Clinical Social Worker
  • Canton, GA
  • NPI 1194485011
  NPD Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1821725276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 KENSINGTON PARK DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148828",
            "telephone_number": "703-867-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 KENSINGTON PARK DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148828",
            "telephone_number": "703-867-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Marietta Hwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301148207",
            "country_code": "US",
            "telephone_number": "703-867-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM TO BLOSSOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "FARABAUGH",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-867-2667",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayla Farabaugh, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Franco, DPT
• Michael Everett Franklin, PA-C
• Kristen Fraser, M.ED., LPC, NCC
• Ashley Frazier, MT-BC
• Samantha F Frederick, NP-C
• Mary Teresa Freeman-Walters, MS, MAC, LPC, CPCS
• Jennifer Meriam Freeman
• James Courtney French Jr., M.D.
• Amy Desmond Fresolone
• Brenda Dee Friedman, MD

• Clinical Social Worker in Canton, GA
• Providers in Canton, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.