LEGACY ALLIANCE INCORPORATED NPI 1275958803

NPI Information

NPI: 1275958803
Provider Name: LEGACY ALLIANCE INCORPORATED
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3948 ANDOVER CAY BLVD
ORLANDO, FL
ZIP 32825
Phone: (407) 399-7489
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LEGACY ALLIANCE INCORPORATED is a mental health counselor in Orlando, FL. LEGACY ALLIANCE INCORPORATED NPI is 1275958803. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3948 ANDOVER CAY BLVD
ORLANDO, FL
ZIP 32825-739
Phone: (407) 399-7489
Fax: (407) 282-9377

The provider's authorized official is Helen Benn .
The authorized official title is President/ceo and has the following contact phone number (407) 399-7489.

The enumeration date for this NPI number is 2/18/2014 and was last updated on 6/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YP2500X	Counselor	Professional			No
4	101YS0200X	Counselor	School			No
5	251S00000X	Community/Behavioral Health		MH6719	FLORIDA	No
6	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1497871891	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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