Liberty Behavioral Consultants

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2000920-320 Issued in NV

Legal business name

LIBERTY BEHAVIORAL CONSULTANTS

Practice address

6447 Salmon Mountain Ave
Las Vegas, NV 89122-3565

Phone

(702) 768-3076

NPI assigned

Oct 27, 2009

Last updated

Oct 27, 2009By 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 J WilsonNPI 1891998589

Title

Ceo

Phone

(702) 768-3076

Specialties & licenses 1

Addresses

Practitioners 1

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
  NPD (past) Authorized official

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1326374349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 SALMON MOUNTAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223565",
            "telephone_number": "702-768-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 SALMON MOUNTAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223565",
            "telephone_number": "702-768-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY BEHAVIORAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MYESHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-768-3076"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "2000920-320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Liberty Wellness Outpatient Counseling

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.