LIBERATION MINISTRIES INC NPI 1972618452

NPI Information

NPI: 1972618452
Provider Name: LIBERATION MINISTRIES INC

Doing Business As: RISE & EXCEL COUNSELING & COMMUNITY SERVICES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3901 N. COLLEGE AVE
SUITE 135
INDIANAPOLIS, IN
ZIP 46205
Phone: (317) 789-6108
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LIBERATION MINISTRIES INC is an addiction (substance use disorder) counselor in Indianapolis, IN. LIBERATION MINISTRIES INC NPI is 1972618452. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rise & Excel Counseling & Community Services.

The provider's business location address is:

3901 N. COLLEGE AVE
SUITE 135
INDIANAPOLIS, IN
ZIP 46205-764
Phone: (317) 789-6108
Fax: (317) 931-0943

The provider's authorized official is Jacqueline Carroll .
The authorized official title is Ceo and has the following contact phone number (317) 789-6108.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TC1900X	Psychologist	Counseling	No
2	104100000X	Social Worker		No
3	101Y00000X	Counselor		No
4	101YM0800X	Counselor	Mental Health	No
5	101YP1600X	Counselor	Pastoral	No
6	101YP2500X	Counselor	Professional	No
7	103TB0200X	Psychologist	Cognitive & Behavioral	No
8	103TC0700X	Psychologist	Clinical	No
9	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200493540	MEDICAID	INDIANA
2	300022920	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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