Provider Demographics
NPI:1982493698
Name:FREEDOM RECOVERY, LLC
Entity type:Organization
Organization Name:FREEDOM RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION/BUSINESS DEVELOPMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-355-6991
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:318-570-5907
Mailing Address - Fax:318-654-4957
Practice Address - Street 1:2001 BAILEY ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71292-6203
Practice Address - Country:US
Practice Address - Phone:318-570-5907
Practice Address - Fax:318-654-4957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder