| NPI | 1336457530 |
|---|---|
| Doing Business As | TED LIBERTY, LPC |
| Entity Type | Organization |
| Authorized Contact | TED LIBERTY Owner 770-389-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005678) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |