1. Home
  2. Directory
  3. Maryland
  4. Glenn Dale
  5. Nurse Practitioner
  6. NPI Profile

LIBERTY BEHAVIORAL HEALTHCARE LLC
NPI 1366018764
Nurse Practitioner - Psychiatric/Mental Health in Glenn Dale, MD

Active since May 27, 2021
10903 GLENSHIRE DR, GLENN DALE, MD 20769(240) 595-5511 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2024, May 27, 2021 (2 updates tracked since 2021).

About Liberty Behavioral Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY BEHAVIORAL HEALTHCARE LLC (NPI 1366018764) is a healthcare organization registered as a psychiatric/mental health in Glenn Dale, Maryland and active in the NPI registry since May 2021. The organization lists Quinta Manenju, Owner, as its authorized official.

NPPES Registry Identity

NPI1366018764
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIBERTY BEHAVIORAL HEALTHCARE LLC
Location Address10903 GLENSHIRE DRGlenn Dale, MD 20769-9160
Mailing Address10903 Glenshire DrGlenn Dale, MD 20769-9160 · (240) 595-5511
Phone(240) 595-5511
Organization SubpartNo
Authorized OfficialQuinta ManenjuOwner · (240) 595-5511
Enumeration DateMay 27, 2021
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1366018764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10903 GLENSHIRE DR, Glenn Dale, MD 20769
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOVETTE TAFOR NKENYI
Case Manager/Care Coordinator
10903 GLENSHIRE DR
GLENN DALE, MD 20769
Prince George's County (240) 714-7835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Behavioral Healthcare LLC's NPI number?

The NPI number for Liberty Behavioral Healthcare LLC is 1366018764. It was assigned to this organization in the NPPES registry on May 27, 2021.

Where is Liberty Behavioral Healthcare LLC located?

Liberty Behavioral Healthcare LLC is located at 10903 Glenshire Dr, Glenn Dale, MD 20769. The listed phone number is (240) 595-5511.

What is Liberty Behavioral Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Liberty Behavioral Healthcare LLC was last updated on August 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.