Organization
PEOPLE OF PURPOSE
Active
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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