| Liberated Light Counseling | |
|
423 Brookline Ave # 275 Boston MA 02215-5410 | |
| (617) 356-7389 | |
| Not Available |
| Full Name | Liberated Light Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 423 Brookline Ave # 275, Boston, Massachusetts |
| Authorized Official Name and Position | Aliese Lovelace Lash (OWNER) |
| Authorized Official Contact | 5712789310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberated Light Counseling 423 Brookline Ave # 275 Boston MA 02215-5410 Ph: () - | Liberated Light Counseling 423 Brookline Ave # 275 Boston MA 02215-5410 Ph: (617) 356-7389 |
| NPI Number | 1801526595 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801526595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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