Provider Demographics
NPI:1558079780
Name:LIBERTY COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:LIBERTY COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:STALCUP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-835-6314
Mailing Address - Street 1:215 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-3334
Mailing Address - Country:US
Mailing Address - Phone:828-835-6314
Mailing Address - Fax:
Practice Address - Street 1:225 VALLEY RIVER AVE STE M
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-2988
Practice Address - Country:US
Practice Address - Phone:828-835-6314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health