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Organization
LIBERATION PATHWAYS LLC
Active
Organization
LIBERATION PATHWAYS LLC
Active
Other names
Liberation Pathways Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA DAVIS LISW (OWNER/CLINICAL SOCIAL WORKER)
(614) 953-4368
Entity
Organization
Contact information
Practice address
470 W BROAD ST # 1257, COLUMBUS, OH 43215-2759
(614) 953-4368
(614) 999-9491
Mailing address
470 W BROAD ST # 1257, COLUMBUS, OH 43215-2759
(614) 953-4368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508350836
NPI (INDIVIDUAL PROVIDER) IDENTIFIER
—
01
—
I.2103264
COUNSELOR, SOCIAL WORKER, AND MARRIAGE & FAMILY THERAPY BOARD LICENSE #
OH
Enumeration date
10/05/2023
Last updated
06/10/2024
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