Liberation Ministries Inc in Indianapolis - Clinical
Liberation Ministries Inc - NPI 1972618452
Liberation Ministries Inc is a Clinical in Indianapolis, Indiana. Liberation Ministries Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Liberation Ministries Inc is 1972618452. The last update date is 2022-12-15.
Liberation Ministries Inc's current location address is 3903 N. College Avenue, Indianapolis, Indiana. You can contact this provider via phone number 3177896108 and fax number 3179310943. The mailing address for Liberation Ministries Inc is 3903 N. College Avenue, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Liberation Ministries Inc |
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Address | 3903 N. College Avenue, Indianapolis, Indiana |
Phone Number | 3177896108 |
Fax Number | 3179310943 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Carroll Jacqueline |
Credentials | LMHC |
Telephone Number | 3177896108 |
NPI Number Detail
NPI Number | 1972618452 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2022-12-15 |
Provider Mailing Address Detail
Address | 3903 N. College Avenue |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462052734 |
Phone Number | 3177896108 |
Fax Number | 3179310943 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200493540 | IN | -- | |
300022920 | IN | -- |
Post Comment/ Review Below
What is the Liberation Ministries Inc's unique identification number?
The Liberation Ministries Inc has been assigned the NPI (National Provider Identifier) Number 1972618452 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Liberation Ministries Inc's physical address?
The Liberation Ministries Inc is physically located at 3903 N. College Avenue, in the city of Indianapolis, IN, with the postal code 462052734.
What is Liberation Ministries Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Liberation Ministries Inc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1972618452 assigned to Liberation Ministries Inc?
The Liberation Ministries Inc was issued its 1972618452 on 2006-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Liberation Ministries Inc most recently updated or refreshed?
The details pertaining to the Liberation Ministries Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-12-15.