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Organization
MENTAL FREEDOM THERAPEUTIC SERVICES, LLC
Active
Organization
MENTAL FREEDOM THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN RICHARDS LPC (OWNER)
(346) 285-5433
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(346) 285-5433
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(346) 285-5433
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999999999
NONE
—
Enumeration date
11/10/2021
Last updated
11/10/2021
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