LIBERTY MEDICAL SERVICES, LLC


Address: 8308 Liberty Rd, Baltimore, MD 21244-3124
Phone: 4104915066

LIBERTY MEDICAL SERVICES, LLC (NPI# 1871873471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871873471
Entity Type Organization
Organization Name LIBERTY MEDICAL SERVICES, LLC
Practice Address 8308 Liberty Rd
Baltimore
MD 21244-3124
Mailing Address 9919 Hoyt Cir
Randallstown
MD 21133-1603
Practice Telephone 4104915066
Mailing Telephone 4104915066
Enumeration Date 2011-08-26
Last Update Date 2011-08-26
Authorized Official Name MS. VANESSA L EDWARDS (EXECUTIVE)
Authorized Official Telephone 4104915066
Authorized Official Credential MSW, LGSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 8308 LIBERTY RD
City BALTIMORE
State MD
Zip Code 21244-3124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215126685 Young Adult Institute Community/Behavioral Health 8308 Liberty Rd, Baltimore, MD 21244-3105 2007-10-22
1194903302 Young Adult Institute Community/Behavioral Health 8308 Liberty Rd, Baltimore, MD 21244-3105 2008-02-11

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1144838277 Guiding Lives Counselor 6305 Belair Rd, Baltimore, MD 21206-1817 2020-07-15
1750908943 New Life Services LLC. Counselor 3600 W Mulberry St, Baltimore, MD 21229-2928 2020-07-03
1801413422 Karena Tinika Lee Counselor 1336 Homestead St, Baltimore, MD 21218-3624 2020-06-30
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1811513625 Ebony Michelle Johnson Counselor 2808 Carver Rd, Baltimore, MD 21225-1312 2020-06-18
1992321798 Robert Murray Counselor 1703 Windemere Ave, Baltimore, MD 21218-3029 2020-06-18
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Competitor

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City BALTIMORE
Zip Code 21244

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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