| Organization Name: | FREEDOM COUNSELING CENTER INC |
| NPI Number: | 1083838361 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY W. MCVAY (PRESIDENT) |
| Mailing Address: | 960 Agard Ave Suite 130 Benton Harbor |
| State: | MI US |
| Postal Code: | 490224051 |
| Phone Number: | 2699441747 |
| Fax Number: | 2699445535 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 08/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 6301010863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |