Freedom Therapy LLC

NPI #1174993034 in Mequon, Wisconsin

Provider Information

NPI Number: 1174993034
Entity Type: Organization
Organization Name: Freedom Therapy LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 4, 2015
Last Updated: Oct 4, 2015

Practice Location

Address: 1240 W RANCHITO LN
City: Mequon
State: Wisconsin
ZIP Code: 53092-6089
Phone: (414) 429-5792

Authorized Official

Name: MR. JOEL SCOTT WINSTON, LCSW, MSSW
Title: PSYCHOTHERAPIST/OWNER
Phone: (414) 429-5792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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