Provider Demographics
NPI:1285748194
Name:FREEDOM RECOVERY SERVICES, INC.
Entity type:Organization
Organization Name:FREEDOM RECOVERY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O./CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:TSAI-BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CADC II
Authorized Official - Phone:808-783-8296
Mailing Address - Street 1:1314 S KING ST
Mailing Address - Street 2:SUITE 217
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1956
Mailing Address - Country:US
Mailing Address - Phone:808-596-2818
Mailing Address - Fax:808-591-0590
Practice Address - Street 1:1314 S KING ST
Practice Address - Street 2:SUITE 217
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1956
Practice Address - Country:US
Practice Address - Phone:808-596-2818
Practice Address - Fax:808-591-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR96-R-27101YA0400X
HI1234-05101YA0400X
HIMSCP101YM0800X
HI9280207Q00000X
HI65152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty