| Liberty Counseling And Consulting Llc | |
|
4769 Free Pike Dayton OH 45416-1111 | |
| (614) 738-3821 | |
| Not Available |
| Full Name | Liberty Counseling And Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4769 Free Pike, Dayton, Ohio |
| Authorized Official Name and Position | Alexis Harbison (OWNER) |
| Authorized Official Contact | 6147383821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Counseling And Consulting Llc Po Box 26335 Trotwood OH 45426-0335 Ph: (614) 738-3821 | Liberty Counseling And Consulting Llc 4769 Free Pike Dayton OH 45416-1111 Ph: (614) 738-3821 |
| NPI Number | 1003433848 |
|---|---|
| Provider Enumeration Date | 06/27/2020 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Medicare PECOS PAC ID | 6204364763 |
|---|---|
| Medicare Enrollment ID | O20250110003156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003433848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alexis Harbison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699229104 PECOS PAC ID: 7911435482 Enrollment ID: I20250110003293 |
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