| Organization Name: | FREE YOUR MIND COUNSELING SERVICES, LLC |
| NPI Number: | 1760877252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GRACE MARIE MORAN (OWNER/THERAPIST) |
| Mailing Address: | 2111 S Tamiami Trl Osprey |
| State: | FL US |
| Postal Code: | 342299668 |
| Phone Number: | 9414517396 |
| Fax Number: | 9413432913 |
| NPI Enumeration Date: | 04/01/2015 |
| NPI Last Update Date: | 04/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |