Active NPI
Freedom Mental Health Consultants, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palm Beach Gardens, FL
National Provider Identifier
1962760512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- SW9906
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.