Provider Demographics
NPI:1447026331
Name:FREEDOM FORCE
Entity type:Organization
Organization Name:FREEDOM FORCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:ANN HOGLUND
Authorized Official - Last Name:KOUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:CPRS
Authorized Official - Phone:651-334-1300
Mailing Address - Street 1:1696 ASHLAND AVE APT 14
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-6173
Mailing Address - Country:US
Mailing Address - Phone:651-334-1300
Mailing Address - Fax:
Practice Address - Street 1:1696 ASHLAND AVE APT 14
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-6173
Practice Address - Country:US
Practice Address - Phone:651-334-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty