Organization
FREEDOM FORMULA RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABBI JONES PRUITT NCC, LPC-S, LMSW (OWNER/CLINICAL DIRECTOR)
(409) 225-6044
Entity
Organization
Contact information
Practice address
14405 WALTERS RD STE 1016, HOUSTON, TX 77014-1493
(832) 559-7520
(832) 559-7284
Mailing address
18806 CENTERRA SPRINGS DR, CYPRESS, TX 77429-7598
(409) 225-6044
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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