Provider Demographics
NPI:1023633880
Name:FREEDOM FIRST ENTERPRISES, LLC
Entity type:Organization
Organization Name:FREEDOM FIRST ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASHUN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:313-670-5726
Mailing Address - Street 1:6691 BISON ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-2803
Mailing Address - Country:US
Mailing Address - Phone:313-670-5726
Mailing Address - Fax:
Practice Address - Street 1:33250 WARREN RD STE 14
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2920
Practice Address - Country:US
Practice Address - Phone:313-670-5726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREEDOM FIRST ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health