# LIBERTY MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1871873471
- **Authorized official:** MS. VANESSA L EDWARDS MSW, LGSW (EXECUTIVE)
- **Authorized official phone:** (410) 491-5066

## Contact information

- **Practice address:** 8308 LIBERTY RD, BALTIMORE, MD 21244-3124
- **Practice address phone:** (410) 491-5066
- **Mailing address:** 9919 HOYT CIR, RANDALLSTOWN, MD 21133-1603
- **Mailing address phone:** (410) 491-5066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 08/26/2011
- **Last updated:** 08/26/2011