| Freedom Services, Pllc | |
|
17775 Se Mill Plain Blvd Apt 252 Vancouver WA 98683-7559 | |
| (360) 991-0070 | |
| Not Available |
| Full Name | Freedom Services, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17775 Se Mill Plain Blvd Apt 252, Vancouver, Washington |
| Authorized Official Name and Position | Phil Allen Phillips (OWNER/THERAPIST) |
| Authorized Official Contact | 3609910070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Services, Pllc 17775 Se Mill Plain Blvd Apt 252 Vancouver WA 98683-7559 Ph: (360) 991-0070 | Freedom Services, Pllc 17775 Se Mill Plain Blvd Apt 252 Vancouver WA 98683-7559 Ph: (360) 991-0070 |
| NPI Number | 1154969384 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154969384 | NPI | - | NPPES |
| 1295121291 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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