FREEDOM LIFE THERAPY AND WELLNESS, LLC
NPI 1730780818
Community/Behavioral Health in Middletown, CT

Q: What is Freedom Life Therapy And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since November 04, 2020

101 CENTERPOINT DR STE 214, MIDDLETOWN, CT 06457(860) 517-4352 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Mar 12, 2021, Nov 19, 2020 and 1 more (4 updates tracked since 2020).

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About Freedom Life Therapy And Wellness, Llc NPPES

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

FREEDOM LIFE THERAPY AND WELLNESS, LLC (NPI 1730780818) is a healthcare organization registered as a community/behavioral health in Middletown, Connecticut and active in the NPI registry since November 2020. The organization lists Laqueshia Clemons, Owner, as its authorized official.

NPPES Registry Identity

NPI1730780818

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameFREEDOM LIFE THERAPY AND WELLNESS, LLC

Location Address101 CENTERPOINT DR STE 214Middletown, CT 06457-7568

Mailing Address101 Centerpoint Dr Ste 214Middletown, CT 06457-7568 · (860) 517-4352

Phone(860) 517-4352

Organization SubpartNo

Authorized OfficialLaqueshia ClemonsOwner · (860) 796-3069

Enumeration DateNovember 4, 2020

Last NPPES UpdateMarch 20, 20254 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1730780818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

101 CENTERPOINT DR STE 214, Middletown, CT 06457

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Freedom Life Therapy And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Freedom Life Therapy And Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Laqueshia Clemons, LCSW

Clinical Social Worker

NPI 1902334477

101 CENTERPOINT DR STE 214
Middletown, CT 06457

(860) 578-4597

✔ PECOSSame address

Diane Madore, LCSW

Clinical Social Worker

NPI 1255208278

50 CRYSTAL RIDGE DR
Ellington, CT 06029

(860) 985-7393

✔ PECOS30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Life Therapy And Wellness, LLC's NPI number?

The NPI number for Freedom Life Therapy And Wellness, LLC is 1730780818. It was assigned to this organization in the NPPES registry on November 4, 2020.

Where is Freedom Life Therapy And Wellness, LLC located?

Freedom Life Therapy And Wellness, LLC is located at 101 Centerpoint Dr Ste 214, Middletown, CT 06457. The listed phone number is (860) 517-4352.

What is Freedom Life Therapy And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Freedom Life Therapy And Wellness, LLC enrolled in Medicare?

Yes. Freedom Life Therapy And Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Freedom Life Therapy And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Freedom Life Therapy And Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Freedom Life Therapy And Wellness, LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.