Organization Active NPI

Freedom Mental Health Consultants, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palm Beach Gardens, FL
National Provider Identifier
1962760512
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
SW9906 Issued in FL
Legal business name
FREEDOM MENTAL HEALTH CONSULTANTS, LLC
Practice address
2401 Pga Blvd
Suite 196
Palm Beach Gardens, FL 33410-3590
Phone
(772) 781-0219
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Ms. Lorraine Brokaw, LCSW, OSW-C
Title
Manager
Phone
(772) 781-0219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X SW9906 FL Primary

Addresses

Primary practice location

2401 Pga Blvd
Suite 196
Palm Beach Gardens, FL 33410-3590

Mailing address

2401 Pga Blvd
Suite 196
Palm Beach Gardens, FL 33410-3590
Phone (772) 781-0219

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1962760512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD",
            "address_2": "SUITE 196",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103590",
            "telephone_number": "772-781-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD",
            "address_2": "SUITE 196",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103590",
            "telephone_number": "772-781-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MENTAL HEALTH CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "BROKAW",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-781-0219",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, OSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SW9906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.