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FREEDOM LOUNGE PLLC
NPI 1275154585
Nurse Practitioner - Psychiatric/Mental Health in Tempe, AZ

Active since April 28, 2020
209 E BASELINE RD STE E107, TEMPE, AZ 85283(480) 531-5973(480) 542-8173 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Freedom Lounge Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEDOM LOUNGE PLLC (NPI 1275154585) is a healthcare organization registered as a psychiatric/mental health in Tempe, Arizona and active in the NPI registry since April 2020. The organization lists George Michael Wickham, General Partner, as its authorized official.

NPPES Registry Identity

NPI1275154585
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFREEDOM LOUNGE PLLC
Location Address209 E BASELINE RD STE E107Tempe, AZ 85283-1299
Mailing Address209 E Baseline Rd Ste E107Tempe, AZ 85283-1299 · (480) 531-5973 · Fax (480) 542-8173
Phone(480) 531-5973
Fax(480) 542-8173
Organization SubpartNo
Authorized OfficialGeorge Michael WickhamGeneral Partner · (480) 531-5973
Enumeration DateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1275154585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
209 E BASELINE RD STE E107, Tempe, AZ 85283
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freedom Lounge PLLC's NPI number?

The NPI number for Freedom Lounge PLLC is 1275154585. It was assigned to this organization in the NPPES registry on April 28, 2020.

Where is Freedom Lounge PLLC located?

Freedom Lounge PLLC is located at 209 E Baseline Rd Ste E107, Tempe, AZ 85283. The listed phone number is (480) 531-5973.

What is Freedom Lounge PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Freedom Lounge PLLC was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.