# LIBERATION MINISTRIES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIBERATION MINISTRIES INC
- **Other names:** Parent Solutions
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295433597
- **Legal business name:** LIBERATION MINISTRIES INC
- **Authorized official:** JACQUELINE CARROLL LMHC (CEO)
- **Authorized official phone:** (317) 789-6108

## Contact information

- **Practice address:** 3901 N COLLEGE AVE STE 135, INDIANAPOLIS, IN 46205-2734
- **Practice address phone:** (131) 778-9711
- **Mailing address:** 3903 N COLLEGE AVE STE 135, INDIANAPOLIS, IN 46205-2734
- **Mailing address phone:** (317) 789-6108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |
| 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