Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Liberty Advocacy Group Inc

Organization Mental Health Counselor · NPI 1235474842

Liberty Advocacy Group Inc provides Mental Health Counselor services in Brookings, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1043 Chetco Ave
Brookings, OR 97415-7152 Not confirmed with CMS for 13 years — call before visiting
Phone: (541) 469-7611
Fax: (866) 835-8295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 094003275RN (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1235474842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Balcom — Founding Director · (541) 469-7611
NPI enumeratedDecember 7, 2012
Last updated in NPPESDecember 7, 2012
Mailing addressPo Box 4404, Brookings, OR 97415-0068

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