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General NPI Number Information
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NPI Number | 1710839337
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Entity Type | Organization
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Legal Business Name | LIBERTY COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 02/14/2026
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 3452 BARNHILL RD
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City | GALIVANTS FERRY
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State | SC
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Zip | 29544-6697
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Country | US
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Telephone | 843-340-1335
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Fax | 843-340-1335
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Provider Business Mailing Address
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Address Line | 1227 16TH AVE # 218
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City | CONWAY
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State | SC
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Zip | 29526-3483
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Country | US
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Telephone | 843-340-1335
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | KAYLA M O'RILEY
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Credential | LPC
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Telephone | 843-340-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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