Provider Demographics
NPI:1972206373
Name:FREED, JOAN M (LMSW)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:FREED
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:M
Other - Last Name:FREED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:JOAN M FREED, LMSW
Mailing Address - Street 1:112 WYNFREY CT
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-4864
Mailing Address - Country:US
Mailing Address - Phone:256-746-3039
Mailing Address - Fax:
Practice Address - Street 1:112 WYNFREY CT
Practice Address - Street 2:
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-4864
Practice Address - Country:US
Practice Address - Phone:256-746-3039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6163G101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health