Organization
NEBO HILL SANCTUARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE SOLEYMANI-ALIZADEH LPC (OWNER)
(816) 200-7087
Entity
Organization
Contact information
Practice address
7 E KANSAS ST STE C, LIBERTY, MO 64068-2312
(816) 200-7087
Mailing address
18405 KRISTI RD E, LIBERTY, MO 64068-8567
(816) 200-7087
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
08/31/2023
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