Liasion Outpatient Complex LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIASION OUTPATIENT COMPLEX LLC

Practice address

105 Eastbrook Dr
Greenville, NC 27858-4216

Phone

(252) 916-1233

Fax

(252) 689-6029

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Ivy Chavis, LCSW

Title

Administrator

Phone

(919) 264-5450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1730581141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31062",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331062",
            "telephone_number": "919-264-5450",
            "fax_number": "252-689-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EASTBROOK DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584216",
            "telephone_number": "252-916-1233",
            "fax_number": "252-689-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIASION OUTPATIENT COMPLEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-264-5450",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lee Lewis, D.D.S.
• Shimena Ruth Li, MD
• Tian Li
• Xiaoxian Li, M.D.
• Liaison Out-Patient Behavior Health Resources, LLC
• Liberty Hospice House of Greenville, LLC
• Mireille Liboiron, D.O.
• Buffa Singleton Lich, RD, LDN, CNSC
• Life Bloom Support & Referral Services LLC
• Lifecare Network Inc

• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.