Liberated Counseling Llc | |
120 Aliso Dr Se Albuquerque NM 87108-2693 | |
(505) 504-5449 | |
Not Available |
Full Name | Liberated Counseling Llc |
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Speciality | Community/Behavioral Health |
Location | 120 Aliso Dr Se, Albuquerque, New Mexico |
Authorized Official Name and Position | Stephen Ratcliff (OWNER) |
Authorized Official Contact | 5055045449 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Liberated Counseling Llc Po Box 3258 Oregon City OR 97045-0821 Ph: (505) 504-5449 | Liberated Counseling Llc 120 Aliso Dr Se Albuquerque NM 87108-2693 Ph: (505) 504-5449 |
NPI Number | 1760054522 |
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Provider Enumeration Date | 07/12/2021 |
Last Update Date | 10/05/2023 |
Certification Date | 10/05/2023 |
Medicare PECOS PAC ID | 8022468362 |
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Medicare Enrollment ID | O20231228001398 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760054522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Stephen Ratcliff |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982933552 PECOS PAC ID: 9931559275 Enrollment ID: I20231228001562 |
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