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General NPI Number Information
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NPI Number | 1316867906
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Entity Type | Organization
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Legal Business Name | LIBERATING MINDS FAMILY THERAPY SERVICES PROF. CORP
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 13800 HEACOCK ST STE C238
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City | MORENO VALLEY
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State | CA
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Zip | 92553-6268
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Country | US
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Telephone | 951-692-9184
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Fax |
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Provider Business Mailing Address
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Address Line | 13800 HEACOCK ST STE C238
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City | MORENO VALLEY
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State | CA
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Zip | 92553-6268
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIEDHA WELCH
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Credential | PHD, LMFT
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Telephone | 951-692-9184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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