Organization
FREE LIFE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKITA MOST MSW, LICSW (OWNER)
(360) 527-5539
Entity
Organization
Contact information
Practice address
11980 HAYWOOD VALLEY RD, SUMMERVILLE, GA 30747-6831
(360) 527-5539
(360) 483-5139
Mailing address
11980 HAYWOOD VALLEY RD, SUMMERVILLE, GA 30747-6831
(360) 527-5539
(360) 483-5139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
08/01/2022
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