Liberation Pathways Therapy | |
470 W Broad St # 1257 Columbus OH 43215-2759 | |
(614) 953-4368 | |
(614) 999-9491 |
Full Name | Liberation Pathways Therapy |
---|---|
Speciality | Social Worker - Clinical |
Location | 470 W Broad St # 1257, Columbus, Ohio |
Authorized Official Name and Position | Monica Davis (OWNER/CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6149534368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Liberation Pathways Therapy 470 W Broad St # 1257 Columbus OH 43215-2759 Ph: (614) 953-4368 | Liberation Pathways Therapy 470 W Broad St # 1257 Columbus OH 43215-2759 Ph: (614) 953-4368 |
NPI Number | 1699555664 |
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Provider Enumeration Date | 10/05/2023 |
Last Update Date | 06/10/2024 |
Certification Date | 06/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699555664 | NPI | - | NPPES |
I.2103264 | Other | OH | COUNSELOR, SOCIAL WORKER, AND MARRIAGE & FAMILY THERAPY BOARD LICENSE # |
1508350836 | Other | NPI (INDIVIDUAL PROVIDER) IDENTIFIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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