Provider Demographics
NPI:1659064590
Name:LIBERATING CHOICES
Entity Type:Organization
Organization Name:LIBERATING CHOICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:SENYONJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-602-6123
Mailing Address - Street 1:17727 1/2 CHATSWORHT ST
Mailing Address - Street 2:STE 250
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344
Mailing Address - Country:US
Mailing Address - Phone:818-602-6123
Mailing Address - Fax:
Practice Address - Street 1:2708 E LIBBY ST STE 250
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-1637
Practice Address - Country:US
Practice Address - Phone:818-602-6123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
No251V00000XAgenciesVoluntary or Charitable