Provider Demographics
NPI:1871114660
Name:FREE SPIRIT COACHING & PSYCHOLOGICAL SERVICES PLC
Entity type:Organization
Organization Name:FREE SPIRIT COACHING & PSYCHOLOGICAL SERVICES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:480-220-0020
Mailing Address - Street 1:5335 E LONE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5529
Mailing Address - Country:US
Mailing Address - Phone:480-220-0020
Mailing Address - Fax:
Practice Address - Street 1:5335 E LONE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5529
Practice Address - Country:US
Practice Address - Phone:480-220-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-03
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty