Organization
LIBERTY SPRINGS PSYCHIATRY AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK E HICKEY PMHNP (CEO)
(727) 504-7073
Entity
Organization
Contact information
Practice address
1215 CORPORATE CIR SW STE 200, ROANOKE, VA 24018-1400
(727) 504-7073
Mailing address
4424 WORTHINGTON CIR, PALM HARBOR, FL 34685-1158
(727) 504-7073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
02/19/2026
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