Liberty Behavioral Consultants

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LIBERTY BEHAVIORAL CONSULTANTS

Practice address

4760 S Pecos Rd # 200-9
Las Vegas, NV 89121-5828

Phone

(702) 768-3076

NPI assigned

Jun 29, 2011

Last updated

Jun 29, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Myesha WilsonNPI 1891998589

Title

Coo

Phone

(702) 768-3076

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myesha Wilson

  • Counselor
  • Las Vegas, NV
  • NPI 1891998589
  Authorized official Same address or phone
• Angel Buttel

  • Foster Care Agency
  • Las Vegas, NV
  • NPI 1336436328

  Counselor

  NPD (past)
• Jesus Colon-Arellano, M. ED

  • Counselor
  • Las Vegas, NV
  • NPI 1982973285
  NPD (past)
• Reshard Wilson

  • Counselor
  • Las Vegas, NV
  • NPI 1326336561
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1083901060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD # 200-9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD # 200-9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828",
            "telephone_number": "702-768-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY BEHAVIORAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MYESHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "702-768-3076"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christal Liaw Chen, DPT
• Eugene Libby, D.O., P.C.
• Liberations LLC
• Liberations LLC
• Liberations LLC
• Liberty Behavioral Consultants
• Liberty Creek Hospice, LLC
• Liberty Dental Plan of Nevada, Inc.
• Liberty Dental Plan of Nevada, Inc.
• Liberty Healthcare Pharmacy of Nevada LLC

• Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.