Liberty, Ted

Liberty, Ted is an individual health care provider with primary practice located at 1940 Harrison Ave , Panama City FL 32405-4542. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Liberty, Ted can be contacted via phone (850) 763-0017.

Contact Information

Primary practice address
1940 Harrison Ave Panama City FL 32405-4542
Phone: (850) 763-0017
Fax: (850) 532-6454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH16073 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005678 Georgia

Profile Details

NPI number 1831423078
LBN Legal business name Liberty, Ted
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Nov 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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