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Organization

FREETOLIVE COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LATISHA D MCCOY PHD. LPC (LICENSED THERAPIST/OWNER)
(484) 496-4694
Entity
Organization

Contact information

Practice address
1515 MARKET ST STE 1200, PHILADELPHIA, PA 19102-1932
(484) 496-4694
(484) 376-8005
Mailing address
PO BOX 4662, NEWARK, DE 19715-4662
(484) 496-4694

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
07/20/2022
Last updated
09/04/2025
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