# HALO THERAPEUTIC GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477437994
- **Authorized official:** MR. DETRICA FREEMAN LAC LPC (OWNER)
- **Authorized official phone:** (225) 806-6510

## Contact information

- **Practice address:** 5500 FLORIDA BLVD STE 106, BATON ROUGE, LA 70806-4133
- **Practice address phone:** (225) 806-6510
- **Practice address fax:** (225) 800-1761
- **Mailing address:** 5500 FLORIDA BLVD STE 106, BATON ROUGE, LA 70806-4133
- **Mailing address phone:** (225) 806-6510
- **Mailing address fax:** (225) 800-1761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 08/05/2025
- **Last updated:** 08/05/2025
