Freedom Wellness Center | |
1000 E. 18th St. Owensboro KY 42303 | |
(270) 228-2991 | |
(270) 228-2994 |
Full Name | Freedom Wellness Center |
---|---|
Speciality | Counselor - Mental Health |
Location | 1000 E. 18th St., Owensboro, Kentucky |
Authorized Official Name and Position | Kenneth Caselden (OWNER) |
Authorized Official Contact | 2702282991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Freedom Wellness Center 1000 E. 18th St. Owensboro KY 42303 Ph: (270) 228-2991 | Freedom Wellness Center 1000 E. 18th St. Owensboro KY 42303 Ph: (270) 228-2991 |
NPI Number | 1184175325 |
---|---|
Provider Enumeration Date | 10/24/2016 |
Last Update Date | 04/13/2021 |
Certification Date | 04/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184175325 | NPI | - | NPPES |
7100273790 | Medicaid | KY | |
7100441920 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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