Freedom Source INC

NPI #1396409496 in Birmingham, Alabama

Provider Information

NPI Number: 1396409496
Entity Type: Organization
Organization Name: Freedom Source INC
Primary Specialty: Prevention Professional
Enumeration Date: Oct 25, 2021
Last Updated: May 29, 2024

Practice Location

Address: 105 VULCAN RD STE 332
City: Birmingham
State: Alabama
ZIP Code: 35209-4701
Phone: (205) 972-8264

Authorized Official

Name: MS. ASHLEY BROOK LOFTIS, LPC, NCC, CPS
Title: PREVENTION NAVIGATOR
Phone: (205) 972-8264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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