Organization Active NPI

Liberty Wellness Consultants LLC

  • Substance Abuse Rehabilitation Facility
  • Stuart, FL
National Provider Identifier
1811752207
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LIBERTY WELLNESS CONSULTANTS LLC
Practice address
2100 SE Ocean Blvd Ste 100
Stuart, FL 34996-3332
Phone
(772) 286-5744
Fax
(772) 286-5750
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mrs. Latonya Santos
Title
Administration
Phone
(772) 626-1848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

2100 SE Ocean Blvd Ste 100
Stuart, FL 34996-3332

Mailing address

2100 SE Ocean Blvd Ste 100
Stuart, FL 34996-3332
Phone (772) 286-5744

Other names 1

  • ADDICTION RECOVERY CONSULTANTS,LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1811752207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD STE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-286-5744",
            "fax_number": "772-286-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD STE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-286-5744",
            "fax_number": "772-286-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY WELLNESS CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "772-626-1848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADDICTION RECOVERY CONSULTANTS,LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.