Liberty Advanced Integrative Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIBERTY ADVANCED INTEGRATIVE CARE, LLC

Practice address

3769 Old Post Rd Ste C
Charlestown, RI 02813-2571

Phone

(401) 854-7955

Fax

(877) 501-2230

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Wendy Holland, APRN

Title

Clinical Director/Ceo

Phone

(401) 854-7955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1417723933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 OLD POST RD STE C",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132571",
            "telephone_number": "401-854-7955",
            "fax_number": "877-501-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 OLD POST RD STE C",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132571",
            "telephone_number": "401-854-7955",
            "fax_number": "877-501-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ADVANCED INTEGRATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "401-854-7955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeview Ocean State, Inc.
• Meloney Ann Lausier, RN-BC
• Stacey Lynne Lecours, MS, CCC/SLP
• Kristen Lee, COTA/L
• Irene Lener, OTR
• Heather Ann Locke, M.A., ED.M,, LMHC
• Amanda Louzon, LCSW
• Karen E. Macdonald, LCSW
• Bethany L Macleod, APRN-FNP-BC
• Christopher Magalhaes

• Primary Care Clinic/Center in Charlestown, RI
• Providers in Charlestown, RI by specialty
• Primary Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.