LEE LEGACY GROUP LLC NPI 1023709912

NPI Information

  • NPI: 1023709912
  • Provider Name: LEE LEGACY GROUP LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 1802 E VINEYARD RD
    PHOENIX, AZ
    ZIP 85042
  • Phone: (480) 932-1804

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NPI Details

LEE LEGACY GROUP LLC is a residential treatment facility emotionally disturbed children in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. LEE LEGACY GROUP LLC NPI is 1023709912. The provider is registered as an organization entity type.

The provider's business location address is:

1802 E VINEYARD RD
PHOENIX, AZ
ZIP 85042-704
Phone: (480) 932-1804

The provider's authorized official is Tremeal Ray Manley .
The authorized official title is Chief Executive Officer and has the following contact phone number (480) 932-1804.

The enumeration date for this NPI number is 5/19/2023 and was last updated on 5/28/2024.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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: 11/21/2025

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