Healthcare Provider Details

I. General information

NPI: 1407700651
Provider Name (Legal Business Name): LIBERITAS MARRIAGE AND FAMILY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 CONCORD AVE STE 105
CONCORD CA
94520-5608
US

IV. Provider business mailing address

1070 CONCORD AVE STE 105
CONCORD CA
94520-5608
US

V. Phone/Fax

Practice location:
  • Phone: 925-849-5087
  • Fax:
Mailing address:
  • Phone: 925-849-5087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. JOANNE MARITZA RODRIGUEZ
Title or Position: CEO
Credential: LMFT
Phone: 925-849-5087