Organization Active NPI

Nebo Hill Sanctuary LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Liberty, MO
National Provider Identifier
1821789850
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEBO HILL SANCTUARY LLC
Practice address
7 E Kansas St Ste C
Liberty, MO 64068-2312
Phone
(816) 200-7087
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Lisa Marie Soleymani-Alizadeh, LPCNPI 1548793938
Title
Owner
Phone
(816) 200-7087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7 E Kansas St Ste C
Liberty, MO 64068-2312

Mailing address

18405 Kristi Rd E
Liberty, MO 64068-8567
Phone (816) 200-7087

National Provider Directory

National Provider Directory

Locations

7 E Kansas St
Ste C
Liberty, MO 64068
Phone (816) 200-7087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1821789850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18405 KRISTI RD E",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640688567",
            "telephone_number": "816-200-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E KANSAS ST STE C",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682312",
            "telephone_number": "816-200-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBO HILL SANCTUARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "SOLEYMANI-ALIZADEH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-200-7087",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.