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Organization

LIBERATED PATH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA POSKOCHIL LMSW, LMHP (OWNER/THERAPIST)
(402) 852-8203
Entity
Organization

Contact information

Practice address
612 PENNSYLVANIA ST, TABLE ROCK, NE 68447-3014
(402) 852-8203
Mailing address
612 PENNSYLVANIA ST, TABLE ROCK, NE 68447-3014
(512) 609-9027

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689483810
NPI TYPE 1
Enumeration date
05/19/2025
Last updated
05/19/2025
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