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NPI Code Detail

MEDICARE: LIBREMENTE MARRIAGE FAMILY THERAPY, INC.

MEDICARE: LIBREMENTE MARRIAGE FAMILY THERAPY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1205760857
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIBREMENTE MARRIAGE FAMILY THERAPY, INC.
Provider Business Mailing Address
First Line : 4160 TEMESCAL CANYON RD STE 401
Second Line :
City : CORONA
State : CA
Zip : 92883-4626
Country : US
Telephone Number : 909-200-3409
Fax Number : 855-850-3354
Provider Business Practice Location Address
First Line : 4160 TEMESCAL CANYON RD STE 401
Second Line :
City : CORONA
State : CA
Zip : 92883-4626
Country : US
Telephone Number : 909-200-3409
Fax Number : 855-850-3354
Authorized Official
Title or Position : FOUNDER/LMFT
Name : ALICIA CARMONA
Credential : LMFT
Telephone Number : 909-292-5927
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/11/2026

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Directions to “LIBREMENTE MARRIAGE FAMILY THERAPY, INC. ” Practice Location

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