My Freedom Quest, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000755 Issued in FL

Legal business name

MY FREEDOM QUEST, INC.

Practice address

2989 W Sr 434 Ste 100
Longwood, FL 32779-4898

Phone

(407) 786-1913

Fax

(407) 960-2636

NPI assigned

Apr 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Peter A. Butkins, PH,D.

Title

Director

Phone

(407) 718-6960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• my freedom quest Other name

Practitioners 1

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

• Kaitlin Bowen, MA, LMHC

  • Mental Health Counselor
  • Longwood, FL
  • NPI 1639829021
  NPD (past)

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523059200000",
    "number": "1952808867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 OAK PL APT G",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327121901",
            "telephone_number": "407-718-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 W SR 434 STE 100",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794898",
            "telephone_number": "407-786-1913",
            "fax_number": "407-960-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FREEDOM QUEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-07",
        "last_updated": "2018-04-07",
        "status": "A",
        "authorized_official_last_name": "BUTKINS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-718-6960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH,D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "000755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "NPI",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "my freedom quest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nadine Munoz, RBT
• Faith Murray, BT
• Keith B Murray, M.D
• Ashley Murry, RBT
• My Favorite Dental Boutique LLC
• My Med Supply Store, Inc
• Sylvie P Nadon, RN, CDE
• Paola Michelle Nago
• Michelle R Nason, M.A., LMHC
• Natalie a. Mroz, Psy.D. LLC

• Marriage & Family Therapist in Longwood, FL
• Providers in Longwood, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2018; 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.