# LIBERTY LAKE COUPLE AND FAMILY THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Lake Therapy, Liberty Lake Couple and Family Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679165773
- **Authorized official:** MRS. CARMEN MH GREEN LMFT, LMHC (THERAPIST)
- **Authorized official phone:** (509) 443-5015

## Contact information

- **Practice address:** 1334 N WHITMAN LN STE 140, LIBERTY LAKE, WA 99019-6034
- **Practice address phone:** (509) 443-5015
- **Practice address fax:** (509) 443-5373
- **Mailing address:** 18621 E ALKI AVE, SPOKANE VALLEY, WA 99016-9505
- **Mailing address phone:** (509) 443-5015
- **Mailing address fax:** (509) 443-5373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 10/20/2025