| Freedom Through Choices, Llc | |
|
175 W B St Ste G Springfield OR 97477-4575 | |
| (541) 357-4027 | |
| Not Available |
| Full Name | Freedom Through Choices, Llc |
|---|---|
| Speciality | Counselor |
| Location | 175 W B St Ste G, Springfield, Oregon |
| Authorized Official Name and Position | Luis Martinez (OWNER) |
| Authorized Official Contact | 5413574027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Through Choices, Llc 175 W B St Ste G Springfield OR 97477-4575 Ph: (541) 357-4027 | Freedom Through Choices, Llc 175 W B St Ste G Springfield OR 97477-4575 Ph: (541) 357-4027 |
| NPI Number | 1588432868 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Medicare PECOS PAC ID | 4183077506 |
|---|---|
| Medicare Enrollment ID | O20240201000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588432868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Luis Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134754013 PECOS PAC ID: 5092168419 Enrollment ID: I20240201000387 |
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