Organization
THE FREEDOM TO SHINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE Y MELENDEZ CEO (BILLING DIRECTOR)
(954) 560-5238
Entity
Organization
Contact information
Practice address
2 N MAIN ST, FRANKLINTON, NC 27525-1357
(954) 560-5238
(888) 510-9071
Mailing address
2 N MAIN ST, FRANKLINTON, NC 27525-1357
(954) 560-5238
(888) 510-9071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1912
NC
101YM0800X
Mental Health Counselor
P006302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STATE LICENSE
P006302
NC
Enumeration date
10/06/2015
Last updated
10/06/2015
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