3D Partners, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005678 Issued in GA

Legal business name

3D PARTNERS, LLC

Doing business as

Ted Liberty, LPC

Practice address

2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4325

Phone

(770) 389-8100

Fax

(770) 389-3030

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By 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

Ted Liberty, LPC

Title

Owner

Phone

(770) 389-8100

Specialties & licenses 1

Addresses

Other names 1

• Ted Liberty, LPC Doing business as

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1336457530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "STE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "770-389-8100",
            "fax_number": "770-389-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "STE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "770-389-8100",
            "fax_number": "770-389-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "LIBERTY",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-389-8100",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ted Liberty, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in McDonough, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.