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Organization
LIBERATION MINISTRIES INC
Active
Organization
LIBERATION MINISTRIES INC
Active
Parent organization
LIBERATION MINISTRIES INC
Other names
Parent Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERATION MINISTRIES INC
Authorized official
JACQUELINE CARROLL LMHC (CEO)
(317) 789-6108
Entity
Organization
Contact information
Practice address
3901 N COLLEGE AVE STE 135, INDIANAPOLIS, IN 46205-2734
(131) 778-9711
Mailing address
3903 N COLLEGE AVE STE 135, INDIANAPOLIS, IN 46205-2734
(317) 789-6108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
NULL
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
253Z00000X
In Home Supportive Care Agency
—
NULL
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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