# LIBERTY SPRINGS PSYCHIATRY AND THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710868237
- **Authorized official:** PATRICK E HICKEY PMHNP (CEO)
- **Authorized official phone:** (727) 504-7073

## Contact information

- **Practice address:** 1215 CORPORATE CIR SW STE 200, ROANOKE, VA 24018-1400
- **Practice address phone:** (727) 504-7073
- **Mailing address:** 4424 WORTHINGTON CIR, PALM HARBOR, FL 34685-1158
- **Mailing address phone:** (727) 504-7073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2025
- **Last updated:** 02/19/2026
