Liberation Programs Inc, NPI 1649390733
Adult Mental Health Clinic/Center in Stamford, CT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1649390733
NPI Entity Type Organization
Provider Name Liberation Programs Inc
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 115 Main St, Stamford, CT, US
Provider Mailing Address 4 Elmcrest Ter, Norwalk, CT, US, 068503908
Is Sole Proprietor? No
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Organization Official

Official Name MR. Alan Mathis
Official Position CHIEF EXECUTIVE OFFICER
Phone 203-851-2077

Primary Taxonomy

Taxonomy Code

261QM0850X

Taxonomy Name Adult Mental Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. SA0175
License State CT
Description An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Other Organization Name

Liberation Meridian Guenster
Former Legal Business Name

Business Address

Liberation Programs Inc
115 Main St

Stamford, CT, US

Phone: 203-356-1980
Fax: 203-967-9476

Mailing Address

Liberation Programs Inc
4 Elmcrest Ter
Norwalk, CT, US
ZIP 068503908
Phone: 203-851-2077
Fax: 203-851-2082

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QM2800X

Ambulatory Health Care Facilities

Clinic/Center

SA0175 CT No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
004251493 CT MEDICAID 05
004052023 CT MEDICAID 05
004188282 CT MEDICAID 05

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NPI Name Taxonomy Address

1285382234

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Organization

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DR. PH.D. Marcia Gay Hunt

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DR. AU.D. Amanda Ottochian-tripp

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PT Chirag Nikunjkumar Parikh

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LPC Kathryn Z Sejourne

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Kind Compassionate Relief Kcr

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Daniel Modlinger

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Malika Akilah Reeves

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385 W Main St

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1104358522

DR. Drew Cornwell

Individual

Interventional Pain Medicine Physician

2 Riverview Dr

Danbury, CT

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