Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Freedom Collective Therapy Group

Organization Mental Health Counselor · NPI 1912687708

Freedom Collective Therapy Group is a Mental Health Counselor in Lake Forest, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

22792 Centre Dr Ste 104
Lake Forest, CA 92630-6311
Phone: (714) 326-3722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1912687708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chandra Medina — Owner · (714) 326-3722
Other names Collective Therapy Group; Collective Therapy Group
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address22792 Centre Dr Ste 104, Lake Forest, CA 92630-6311

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