Organization
HALO THERAPEUTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DETRICA FREEMAN LAC LPC (OWNER)
(225) 806-6510
Entity
Organization
Contact information
Practice address
5500 FLORIDA BLVD STE 106, BATON ROUGE, LA 70806-4133
(225) 806-6510
(225) 800-1761
Mailing address
5500 FLORIDA BLVD STE 106, BATON ROUGE, LA 70806-4133
(225) 806-6510
(225) 800-1761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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