Liberty 1 Health Care PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LIBERTY 1 HEALTH CARE PLLC

Practice address

17515 W 9 Mile Rd Ste 740
Southfield, MI 48075-4413

Phone

(989) 798-7604

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Manohar Atri, MD

Title

Medical Director

Phone

(989) 798-7604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1174223978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 740",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 740",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754413",
            "telephone_number": "989-798-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY 1 HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "ATRI",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "989-798-7604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Leyrer, BCBA
• Maci Lezotte
• Tao Li, MD
• Marie D Libbey
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• Anna C. Licavoli, LLMSW
• Licensed Professional Counselor Institute
• Olivia Lidy
• Life Bridge Health Services LLC
• Life Centers, Inc

• Multi-Specialty Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.