Liberated Path Llc | |
612 Pennsylvania St Table Rock NE 68447-3014 | |
(402) 852-8203 | |
Not Available |
Full Name | Liberated Path Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 612 Pennsylvania St, Table Rock, Nebraska |
Authorized Official Name and Position | Laura Poskochil (OWNER/THERAPIST) |
Authorized Official Contact | 4028528203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Liberated Path Llc 612 Pennsylvania St Table Rock NE 68447-3014 Ph: (512) 609-9027 | Liberated Path Llc 612 Pennsylvania St Table Rock NE 68447-3014 Ph: (402) 852-8203 |
NPI Number | 1033901046 |
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Provider Enumeration Date | 05/19/2025 |
Last Update Date | 05/19/2025 |
Certification Date | 05/18/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033901046 | NPI | - | NPPES |
1689483810 | Other | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |