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Organization

RISE & EXCEL COUNSELING & COMMUNITY SERVICES

Active
Parent organization
LIBERATION MINISTRIES, INC
Other names
Liberation Ministries, Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIBERATION MINISTRIES, INC
Authorized official
DR. JACQUELINE CARROLL LMHC (CEO)
(317) 931-8018
Entity
Organization

Contact information

Practice address
3925 N COLLEGE AVE, SUITE 101, INDIANAPOLIS, IN 46205-2734
(317) 931-8018
(317) 931-0943
Mailing address
3925 N COLLEGE AVE, SUITE 101, INDIANAPOLIS, IN 46205-2734
(317) 931-8018
(317) 931-0943

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
674BEJ
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200863670A
IN
Enumeration date
04/23/2008
Last updated
04/24/2008
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