Organization
LIBERTY COUNSELING CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA K. EYMAN MS, CADC, MISA II (PRESIDENT/DIRECTOR)
(217) 287-2550
Entity
Organization
Contact information
Practice address
209 S WASHINGTON ST, TAYLORVILLE, IL 62568-2246
(217) 287-2550
(217) 478-2060
Mailing address
209 S WASHINGTON ST, TAYLORVILLE, IL 62568-2246
(217) 287-2550
(217) 478-2060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-7302-0003-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C/A-7302-0001-A
—
IL
05
—
C/A-7302-0003-A
—
IL
Enumeration date
02/15/2011
Last updated
02/15/2011
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