Provider Type Icon

LIBERATION PROGRAMS INC NPI 1174644652


NPI Information

NPI: 1174644652
Provider Name: LIBERATION PROGRAMS INC

Former Legal Business Name: LIBERATION MERIDIAN GUENSTER

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
120 BROOKSIDE ROAD
DARIEN, CT
ZIP 06820
Phone: (203) 655-8973
Get Directions

LIBERATION PROGRAMS INC is an adolescent and children mental health clinic center in Darien, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. LIBERATION PROGRAMS INC NPI is 1174644652. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Liberation Meridian Guenster.

The provider's business location address is:

120 BROOKSIDE ROAD
DARIEN, CT
ZIP 06820
Phone: (203) 655-8973
Fax: (203) 655-2389

The provider's authorized official is Alan Mathis .
The authorized official title is Chief Executive Officer and has the following contact phone number (203) 851-2077.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 6/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental Health0271CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004259025MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.