Liberty Mental Health Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L3352-C1512 Issued in OR

Legal business name

LIBERTY MENTAL HEALTH CLINIC

Practice address

145 Wilson St S
Salem, OR 97302-4232

Phone

(503) 581-0463

Fax

(503) 581-1669

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Loren S Meltzer, JD,LPC,CADC

Title

Administrative Director

Phone

(503) 302-4126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1851567655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024203",
            "telephone_number": "503-581-0463",
            "fax_number": "503-581-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WILSON ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024232",
            "telephone_number": "503-581-0463",
            "fax_number": "503-581-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MELTZER",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "503-302-4126",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD,LPC,CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "L3352-C1512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Li, LMT
• Bushra Liaqat, DDS
• Liberty Dental Care PC
• Liberty Denture Clinic, LLC
• Liberty House
• Liberty Spine & Pain Center P C
• David Lichtenberger
• David John Lichter, MD
• Melanie Beverlee Liddell, RPH.
• Rachael Liebman, NP

• Community/Behavioral Health Agency in Salem, OR
• Providers in Salem, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.