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Organization
LIBERTY TREATMENT PLLC
Active
Organization
LIBERTY TREATMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA ROSE LCSW (OWNER)
(910) 996-3115
Entity
Organization
Contact information
Practice address
95 H2O PL STE 11, HAMPSTEAD, NC 28443
(910) 996-3115
(910) 613-0016
Mailing address
1144 WESTERN BLVD # 1122, JACKSONVILLE, NC 28546-6651
(910) 996-3115
(910) 613-0016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
08/10/2026
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