Liberty Resources Family Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LIBERTY RESOURCES FAMILY SERVICES, INC.

Practice address

5151 Flynn Pkwy Ste 100
Corpus Christi, TX 78411-4318

Phone

(361) 446-9752

Fax

(361) 452-3180

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Carl Michael Coyle

Title

Ceo

Phone

(315) 425-1004

Specialties & licenses 2

Addresses

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.

• Crystal Susette Knoop, LPC

  • Professional Counselor
  • Corpus Christi, TX
  • NPI 1619523040
  NPD
• Kelly L Demory Guevara, M.ED., LPC

  • Professional Counselor
  • Corpus Christi, TX
  • NPI 1962064402
  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1609236330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032730",
            "telephone_number": "315-425-1004",
            "fax_number": "315-479-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114318",
            "telephone_number": "361-446-9752",
            "fax_number": "361-452-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RESOURCES FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-425-1004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• LHCG Cxiv, LLC (CHRISTUS Hospice and Palliative Care SPOHN)
• Libertas Rehab LLC
• Melyssa Liberty, LMT
• License to Thrive, LLC
• Crystal Joann Lieseke
• Briana Regina Lievanos
• Life Branch Inc.

• Professional Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.