NPIMap

Organization Active NPI

Liberations LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1730661547
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIBERATIONS LLC
Practice address
3408 Bonn CT
Las Vegas, NV 89130-3143
Phone
(702) 675-3848
Fax
(702) 675-3989
NPI assigned
Aug 29, 2018
Last updated
Jun 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Michaya LeeNPI 1255723938
Title
Administration
Phone
(702) 782-1772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3408 Bonn CT
Las Vegas, NV 89130-3143

Mailing address

3408 Bonn CT
Las Vegas, NV 89130-3143
Phone (702) 675-3848

Other practice location 1

2655 S Rainbow Blvd Ste 100
Las Vegas, NV 89146-5100
Phone (702) 675-3848

National Provider Directory

National Provider Directory
Tax ID family
Liberations LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2655 S Rainbow Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 675-3848

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1730661547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 BONN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303143",
            "telephone_number": "702-675-3848",
            "fax_number": "702-675-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 BONN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303143",
            "telephone_number": "702-675-3848",
            "fax_number": "702-675-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 S Rainbow Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465100",
            "country_code": "US",
            "telephone_number": "702-675-3848",
            "fax_number": "702-675-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAYA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "702-782-1772"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.