Provider Demographics
NPI:1568986867
Name:LIBERTY QUEST COUNSELING, LLC
Entity Type:Organization
Organization Name:LIBERTY QUEST COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:JOANNA
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:430-558-1985
Mailing Address - Street 1:2221 JUSTIN RD STE 119-214
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4848
Mailing Address - Country:US
Mailing Address - Phone:972-201-6657
Mailing Address - Fax:469-645-2045
Practice Address - Street 1:2330 JUSTIN RD STE 200
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3087
Practice Address - Country:US
Practice Address - Phone:972-201-6657
Practice Address - Fax:469-645-2045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1427288034OtherNPI