| Liberation Counseling Services Pllc | |
|
625 E 2nd Ave Ste 9 Gastonia NC 28054-7102 | |
| (111) 111-1111 | |
| Not Available |
| Full Name | Liberation Counseling Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 625 E 2nd Ave Ste 9, Gastonia, North Carolina |
| Authorized Official Name and Position | Jacqueline Parks Leach (THERAPIST) |
| Authorized Official Contact | 7044181632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberation Counseling Services Pllc 625 E 2nd Ave Ste 9 Gastonia NC 28054-7102 Ph: () - | Liberation Counseling Services Pllc 625 E 2nd Ave Ste 9 Gastonia NC 28054-7102 Ph: (111) 111-1111 |
| NPI Number | 1164118543 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164118543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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