| NPI | 1811613201 |
|---|---|
| Former Legal Business Name | LIBERATI COUNSELING |
| Entity Type | Organization |
| Authorized Contact | RYAN LIBERATI Owner 309-369-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |