Liberty Health Services LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIBERTY HEALTH SERVICES LLC

Practice address

29 Ashleigh Drive
Derry, NH 03038-3054

Phone

(603) 216-0277

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By 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

Brian Teague

Title

Exec Director

Phone

(781) 864-8349

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Renee Solange King, APRN

  • Nurse Practitioner
  • Derry, NH
  • NPI 1275134926
  NPD
• Julie Lynn Patten, FNP, PMHNP

  • Family Nurse Practitioner
  • Derry, NH
  • NPI 1447760616
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1568031615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ASHLEIGH DRIVE",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030383054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ASHLEIGH DRIVE",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030383054",
            "telephone_number": "603-216-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "781-864-8349"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lesieur, LCMHC
• Kimberlee Lessard
• Glenn Lever, C.R.N.A.
• Jan Marie Levesque, APRN
• Matthew Louise Levine, M.D.
• Michelle Marie Lima
• Londonderry Gastroenterology Associates PA
• Donna Longworth
• Anne M Loosmann, MD
• Eleni Magdalena Lopes, FNP-C

• Substance Use Disorder Rehabilitation Clinic/Center in Derry, NH
• Providers in Derry, NH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.