Organization
PEOPLE OF PURPOSE
Active
Other names
Liberty Counseling and Recovery Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BARNES BOONE (CEO)
(252) 917-9930
Entity
Organization
Contact information
Practice address
1602 HARBOUR DR, WILMINGTON, NC 28401-7716
(910) 395-8227
(910) 395-9337
Mailing address
1602 HARBOUR DR, WILMINGTON, NC 28401-7716
(910) 395-8227
(910) 395-9337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301103
—
NC
Enumeration date
11/14/2007
Last updated
10/29/2013
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