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Contact Information

LIBERTY HEALTHCARE LLC
18 HART ST
NEW BRITAIN, CT06052-1702
 Phone: 860-357-4112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for LIBERTY HEALTHCARE LLC

NPI # 1801151105
LBN Legal business name LIBERTY HEALTHCARE LLC
Authorized official LUCIA DEVIVO CATALANO - (MANAGER/PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2012
Last updated 07/12/2012 - About 14 years ago
Identifiers
CT License # 000570
CT License # 001219
CT License # E59762
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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