| Liberating The Psyche Lcswcorp Inc | |
|
4766 La Villa Marina Unit A Marina Del Rey CA 90292-7054 | |
| (310) 913-4623 | |
| Not Available |
| Full Name | Liberating The Psyche Lcswcorp Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4766 La Villa Marina Unit A, Marina Del Rey, California |
| Authorized Official Name and Position | Scotty Scotty (OWNER) |
| Authorized Official Contact | 3109134623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberating The Psyche Lcswcorp Inc 4766 La Villa Marina Unit A Marina Del Rey CA 90292-7054 Ph: (310) 913-4623 | Liberating The Psyche Lcswcorp Inc 4766 La Villa Marina Unit A Marina Del Rey CA 90292-7054 Ph: (310) 913-4623 |
| NPI Number | 1255123212 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255123212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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