Forward Freedom, Llc

LBN: Forward Freedom, Llc
Forward Freedom, Llc is an health care organization with primary practice located at 531 Versailles Dr Ste 100 , Maitland FL 32751-4591. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Forward Freedom, Llc can be contacted via phone (747) 263-2789, or through Webster, Nathaniel via phone (747) 263-2789.

Contact Information

Primary practice address
531 Versailles Dr Ste 100 Maitland FL 32751-4591
Phone: (747) 263-2789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Webster, Nathaniel LMHC
Phone: (747) 263-2789

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1205457132
LBN Legal business name Forward Freedom, Llc
DBA Doing business as
Authorized official Webster, Nathaniel LMHC
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2020
Last updated May 1st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205457132 NPPES
Florida Other 1356833925 NPI, TYPE 1

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