Liberty Behavioral Healthcare LLC
NPI 1366018764 · Psychiatric/Mental Health Nurse Practitioner · Glenn Dale, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Liberty Behavioral Healthcare LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Glenn Dale, MD (NPI 1366018764).
Provider details
- NPI number
- 1366018764
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Quinta Manenju, Owner(240) 595-5511
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Frequently asked questions
- What is Liberty Behavioral Healthcare LLC's NPI number?
- Liberty Behavioral Healthcare LLC's National Provider Identifier (NPI) is 1366018764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Behavioral Healthcare LLC?
- Liberty Behavioral Healthcare LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Liberty Behavioral Healthcare LLC located?
- Liberty Behavioral Healthcare LLC's practice location on file with NPPES is 10903 Glenshire Dr, Glenn Dale, MD 20769-9160.
- What is Liberty Behavioral Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Behavioral Healthcare LLC is (240) 595-5511.
- Does Liberty Behavioral Healthcare LLC accept Medicare?
- Liberty Behavioral Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Liberty Behavioral Healthcare LLC?
- The authorized official listed on Liberty Behavioral Healthcare LLC's NPPES record is Quinta Manenju, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Behavioral Healthcare LLC's NPI active?
- Yes — Liberty Behavioral Healthcare LLC's NPI (1366018764) is active in the NPPES registry as of the last update on 2024-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.