Healthcare Provider Details

I. General information

NPI: 1003748070
Provider Name (Legal Business Name): KRISTIN LIEBERMAN, LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 S MAPLE AVE STE 207
MARLTON NJ
08053-2002
US

IV. Provider business mailing address

26 S MAPLE AVE STE 207
MARLTON NJ
08053-2002
US

V. Phone/Fax

Practice location:
  • Phone: 856-878-2624
  • Fax:
Mailing address:
  • Phone: 856-878-2624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN LIEBERMAN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MA
Phone: 856-878-2624