Freedom Lounge Pllc

LBN: Freedom Lounge Pllc
Freedom Lounge Pllc is an health care organization with primary practice located at 209 E Baseline Rd Ste E107 , Tempe AZ 85283-1299. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Freedom Lounge Pllc can be contacted via phone (480) 531-5973, or through Wickham, George Michael via phone (480) 531-5973.

Contact Information

Primary practice address
209 E Baseline Rd Ste E107 Tempe AZ 85283-1299
Phone: (480) 531-5973
Fax: (480) 542-8173
Website:
Map and Directions
Authorized official contact:
Name: Wickham, George Michael
Phone: (480) 531-5973

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1275154585
LBN Legal business name Freedom Lounge Pllc
DBA Doing business as
Authorized official Wickham, George Michael
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2020
Last updated Apr 28th, 2020 - about 4 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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