Provider Demographics
NPI:1285373241
Name:LIBERTY HILL COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:LIBERTY HILL COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHCA
Authorized Official - Phone:980-522-3853
Mailing Address - Street 1:35 CHURCH ST S STE 108
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-3511
Mailing Address - Country:US
Mailing Address - Phone:980-522-3853
Mailing Address - Fax:
Practice Address - Street 1:35 CHURCH ST S STE 108
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-3511
Practice Address - Country:US
Practice Address - Phone:980-522-3853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-28
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty