| Liberated Counseling Llc | |
|
120 Aliso Dr Se Albuquerque NM 87108-2693 | |
| (505) 504-5449 | |
| Not Available |
| Full Name | Liberated Counseling Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 8022468362 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982933552 PECOS PAC ID: 9931559275 Enrollment ID: I20231228001562 |
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