MY FREEDOM QUEST, INC. (NPI# 1952808867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952808867 |
| Entity Type | Organization |
| Organization Name | MY FREEDOM QUEST, INC. |
| Other Organization Name | MY FREEDOM QUEST |
| Practice Address |
2989 W Sr 434 Ste 100 Longwood FL 32779-4898 |
| Mailing Address |
1412 Oak Pl Apt G Apopka FL 32712-1901 |
| Practice Telephone | 4077861913 |
| Practice Fax Number | 4079602636 |
| Mailing Telephone | 4077186960 |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2018-04-07 |
| Authorized Official Name | DR. PETER A. BUTKINS (DIRECTOR) |
| Authorized Official Telephone | 4077186960 |
| Authorized Official Credential | PH,D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 000755 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | NPI | 01 |
| Other Name | Type Code |
|---|---|
| my freedom quest | Other Name - Individual/Organization |
| Street Address |
2989 W SR 434 STE 100 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-4898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053658211 | Susan Renea Morrison | Marriage & Family Therapist | 100 Crown Oaks Ctr, Longwood, FL 32750-6166 | 2013-01-08 |
| 1295035384 | Erin Dubose Davis | Marriage & Family Therapist | 165 Sabal Palm Dr, Suite 101, Longwood, FL 32779-2592 | 2010-10-24 |
| 1649591025 | Monica Yvette Perry | Marriage & Family Therapist | 165 Sabal Palm Dr Ste 101, Longwood, FL 32779-2591 | 2010-06-19 |
| 1851563803 | Leslie A Cary | Marriage & Family Therapist | 111 W Magnolia Avenue, Longwood, FL 32750 | 2008-03-31 |
| 1326234717 | Dana K Anderson Jr. | Marriage & Family Therapist | 2949 W State Road 434, Suite 200, Longwood, FL 32779-4458 | 2007-09-19 |
| 1770633828 | Brianne G Kaufholz | Marriage & Family Therapist | 320 Crown Oaks Centre Dr, Longwood, FL 32750-6149 | 2007-01-11 |
| 1417067166 | Petey Dunbar Burnett-silveira | Marriage & Family Therapist | 2989 W Sr 434, Ste 500, Longwood, FL 32779 | 2006-08-30 |
| 1528044237 | John C. Yurick | Marriage & Family Therapist | 289 Wilma St, Longwood, FL 32750-4135 | 2005-12-15 |
| 1285190876 | Michelle M Bowers | Marriage & Family Therapist | 365 Wekiva Springs Rd Ste 231, Longwood, FL 32779-3690 | 2019-02-19 |
| 1831545169 | Yahaira B. Santiago | Marriage & Family Therapist | 587 E Sr 434, Suite 1021, Longwood, FL 32750-5201 | 2016-05-05 |
| Find all providers in LONGWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.