# LIBERATION MINISTRIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rise & Excel Counseling & Community Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972618452
- **Authorized official:** JACQUELINE CARROLL LMHC (CEO)
- **Authorized official phone:** (317) 789-6108

## Contact information

- **Practice address:** 3901 N. COLLEGE AVE, SUITE 135, INDIANAPOLIS, IN 46205-2764
- **Practice address phone:** (317) 789-6108
- **Practice address fax:** (317) 931-0943
- **Mailing address:** 3903 N. COLLEGE AVENUE, INDIANAPOLIS, IN 46205-2734
- **Mailing address phone:** (317) 789-6108
- **Mailing address fax:** (317) 931-0943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 12/15/2022