Organization Active NPI

Liberty House Outpatient LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wixom, MI
National Provider Identifier
1720891914
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LIBERTY HOUSE OUTPATIENT LLC
Practice address
28345 Beck Rd Ste 203
Wixom, MI 48393-4737
Phone
(810) 208-0266
Fax
(810) 936-8228
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Dr. Susan Abed, DDS-MS
Title
Ceo / Owner
Phone
(248) 255-6268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

28345 Beck Rd Ste 203
Wixom, MI 48393-4737

Mailing address

28345 Beck Rd Ste 203
Wixom, MI 48393-4737
Phone (248) 290-9800

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2332897Liberty House Outpatient28345 Beck Road Suite 203, Wixom, MI 48393Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

28345 Beck Rd
Ste 203
Wixom, MI 48393
Phone (810) 208-0266

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1720891914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28345 BECK RD STE 203",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934737",
            "telephone_number": "248-290-9800",
            "fax_number": "248-290-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28345 BECK RD STE 203",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934737",
            "telephone_number": "810-208-0266",
            "fax_number": "810-936-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOUSE OUTPATIENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "ABED",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "248-255-6268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS-MS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.