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Organization

THERAPEUTIC FREEDOM TX LLC

Active
Other names
Therapeutic Freedom TX
Organization subpart
No

Provider details

NPI number
Authorized official
AQUEELAH RAUSHANAH COLLIER LCSW-S (CEO)
(817) 504-7660
Entity
Organization

Contact information

Practice address
305 REGENCY PKWY STE 805, MANSFIELD, TX 76063-3794
(817) 504-7660
Mailing address
305 REGENCY PKWY STE 805, MANSFIELD, TX 76063-3794
(817) 504-7660

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
221700000X
Art Therapist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
05/02/2024
Last updated
11/24/2025
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