LIBERTY LODGE INC. NPI 1376178053

NPI Information

  • NPI: 1376178053
  • Provider Name: LIBERTY LODGE, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 160 FM 2507
    ALICE, TX
    ZIP 78332
  • Phone: (361) 664-7555

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NPI Details

LIBERTY LODGE, INC. is a substance abuse rehabilitation facility in Alice, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LIBERTY LODGE, INC. NPI is 1376178053. The provider is registered as an organization entity type.

The provider's business location address is:

160 FM 2507
ALICE, TX
ZIP 78332-763
Phone: (361) 664-7555

The provider's authorized official is Rhonda Patrick .
The authorized official title is Director and has the following contact phone number (713) 397-9098.

The enumeration date for this NPI number is 3/3/2020 and was last updated on 1/24/2023.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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