Provider Demographics
NPI:1295625291
Name:FREYA CENTER PLLC
Entity type:Organization
Organization Name:FREYA CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:FARIS
Authorized Official - Suffix:
Authorized Official - Credentials:DACCHM LM IBCLC
Authorized Official - Phone:512-801-9102
Mailing Address - Street 1:9415 BURNET RD STE 109
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5264
Mailing Address - Country:US
Mailing Address - Phone:512-801-9102
Mailing Address - Fax:512-337-2706
Practice Address - Street 1:9415 BURNET RD STE 109
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5264
Practice Address - Country:US
Practice Address - Phone:512-801-9102
Practice Address - Fax:512-337-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing