Organization
FREEDOM TO BE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARCY SULLIVAN CLARKE M.A. (LPCC)
(505) 474-6368
Entity
Organization
Contact information
Practice address
2100 CALLE DE LA VUELTA, BLDG. D; UNIT 206, SANTA FE, NM 87505-4742
(505) 474-6368
(505) 474-6368
Mailing address
2100 CALLE DE LA VUELTA, BLDG. D; UNIT 206, SANTA FE, NM 87505-4742
(505) 474-6368
(505) 474-6368
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0085671
NM
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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