LIBERTY BEHAVIORAL CONSULTANTS
NPI 1083901060
Counselor in Las Vegas, NV

Active since June 29, 2011
4760 S PECOS RD # 200-9, LAS VEGAS, NV 89121(702) 768-3076 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor

About LIBERTY BEHAVIORAL CONSULTANTS

This page provides the complete NPI Profile along with additional information for Liberty Behavioral Consultants, a provider established in Las Vegas, Nevada operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1083901060 assigned on June 2011. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Myesha Wilson (Coo)

NPI
1083901060 Verify this NPI
Provider Name
LIBERTY BEHAVIORAL CONSULTANTS
Entity Type
Organization
Location Address
4760 S PECOS RD # 200-9 LAS VEGAS, NV 89121
Location Phone
(702) 768-3076
Mailing Address
4760 S PECOS RD # 200-9 LAS VEGAS, NV 89121
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2011
Last Update Date
06-29-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MYESHA WILSON

Authorized Official Title
COO
Authorized Official Phone
(702) 768-3076

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor
4760 S PECOS RD # 200-9
LAS VEGAS, NV 89121
Counselor
4760 S PECOS RD # 200-9
LAS VEGAS, NV 89121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083901060, enumerated as an "organization" on June 29, 2011.

The provider is located at 4760 S PECOS RD # 200-9 LAS VEGAS, NV 89121 and the phone number is (702) 768-3076.

Counselor with taxonomy code 101Y00000X.