Provider Demographics
NPI:1831907963
Name:FREEDOM RECOVERY, LLC
Entity type:Organization
Organization Name:FREEDOM RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT/CREDENTIALING
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-570-5907
Mailing Address - Street 1:205 GRAYSON ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-6231
Mailing Address - Country:US
Mailing Address - Phone:318-355-6991
Mailing Address - Fax:
Practice Address - Street 1:1007 GOULD DR.
Practice Address - Street 2:BUILDING #1, SUITE #2
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-4971
Practice Address - Country:US
Practice Address - Phone:318-570-5907
Practice Address - Fax:318-654-4957
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREEDOM RECOVERY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-20
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder