FREEDOM RECOVERY, LLC (NPI# 1013444181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013444181 |
| Entity Type | Organization |
| Organization Name | FREEDOM RECOVERY, LLC |
| Practice Address |
715 E Yelm Ave Ste 6 Yelm WA 98597-8714 |
| Practice Telephone | 3609608595 |
| Practice Fax Number | 2539608594 |
| Mailing Telephone | 2539610116 |
| Mailing Fax Number | 2539608594 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |
| Authorized Official Name | MR. ROBERT WAYNE LONG (ADMINISTRATOR) |
| Authorized Official Telephone | 3609608595 |
| Authorized Official Credential | CDP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
145800 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PRIVATE INSURED | 145800 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FREEDOM RECOVERY, LLC | 715 E Yelm Ave, Suite #6, Yelm, WA 98597 |
| Street Address |
715 E YELM AVE STE 6 |
| City | YELM |
| State | WA |
| Zip Code | 98597-8714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935282 | Margaret Linndy Coopride | Counselor | 715 E Yelm Ave Ste 6, Yelm, WA 98597-8714 | 2019-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652888 | Michael Nathan Steim | Dentist | 504 Yelm Avenue West, Yelm, WA 98597 | 2018-06-12 |
| 1457854549 | Ursula Schanne | Massage Therapist | 10501 Creek St Se Ste 7, Yelm, WA 98597 | 2018-03-14 |
| 1215449079 | Kaylee Jean Cook | Occupational Therapy Assistant | 107 1st Street Ne, Yelm, WA 98597 | 2017-11-01 |
| 1740705615 | Heather Anne Ervine | Physical Therapy Assistant | 14809 89th Ave Se, Yelm, WA 98597 | 2017-08-11 |
| 1679014559 | Beverly Dunford | Massage Therapist | 404 1st St S Ste. H, Yelm, WA 98597 | 2017-03-13 |
| 1740735158 | Amanda Kroboth | Speech-Language Pathologist | 16535 110th Ave Se, Yelm, WA 98597 | 2016-08-16 |
| 1134587090 | Lopaka Thanh Son Los Banos | Massage Therapist | 35617 Wa-507, Yelm, WA 98597 | 2016-02-08 |
| 1629472816 | Michelle Louise Punzel | Registered Nurse | 202 Stevens Ave Nw, Yelm, WA 98597 | 2014-10-16 |
| 1386074581 | Bobbi J Ashley | Counselor | 202 Cullens Rd, Yelm, WA 98597 | 2013-11-25 |
| 1295008100 | Trina Baggett | Doula | 21618 N Clearlake Blvd Se, Yelm, WA 98597 | 2012-02-23 |
| Find all providers in zip 98597 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588192264 | Sea-mar Community Health Center | Clinic/Center | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2017-05-25 |
| 1114341096 | Sea Mar Community Health Center | Clinic/Center | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.