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LIBERATEABQ
NPI 1659026433
Clinic/Center - Mental Health (Including Community Mental Health Center) in Albuquerque, NM

Active since February 19, 2022
609 GOLD AVE SW STE 1F, ALBUQUERQUE, NM 87102(505) 758-7200 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2023, Mar 20, 2023, Feb 17, 2023 and 1 more (4 updates tracked since 2022).

About Liberateabq NPPES

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

LIBERATEABQ (NPI 1659026433) is a healthcare organization registered as a mental health (including community mental health center) in Albuquerque, New Mexico and active in the NPI registry since February 2022. The organization lists Scott Thomas Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1659026433
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIBERATEABQ, LLC
Location Address609 GOLD AVE SW STE 1FAlbuquerque, NM 87102-3119
Mailing Address609 Gold Ave Sw Ste 1fAlbuquerque, NM 87102-3119 · (505) 758-7200
Phone(505) 758-7200
Organization SubpartNo
Authorized OfficialScott Thomas ClarkOwner · (505) 596-0614
Enumeration DateFebruary 19, 2022
Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1659026433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
609 GOLD AVE SW STE 1F, Albuquerque, NM 87102
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Other Names 1

Doing Business AsLiberateabq

Other Identifiers 1

Medicaid04123751NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

SOLID SOCIETY OF NEW MEXICO CORP
Clinic/Center (Mental Health (Including Community Mental Health Center))
609 GOLD AVE SW STE 1F
ALBUQUERQUE, NM 87102
Bernalillo County (505) 758-7200

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 Liberateabq, LLC's NPI number?

The NPI number for Liberateabq, LLC is 1659026433. It was assigned to this organization in the NPPES registry on February 19, 2022. The provider is doing business as Liberateabq.

Where is Liberateabq, LLC located?

Liberateabq, LLC is located at 609 Gold Ave SW Ste 1F, Albuquerque, NM 87102. The listed phone number is (505) 758-7200.

What is Liberateabq, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Liberateabq, LLC was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.