LEGACY BEHAVIORAL HEALTH & WELLNESS NPI 1144893173

NPI Information

NPI: 1144893173
Provider Name: LEGACY BEHAVIORAL HEALTH & WELLNESS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
8105 RASOR BLVD STE 248
PLANO, TX
ZIP 75024
Phone: (469) 461-1557
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LEGACY BEHAVIORAL HEALTH & WELLNESS is a psychiatric/mental health nurse practitioner in Plano, TX. LEGACY BEHAVIORAL HEALTH & WELLNESS NPI is 1144893173. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8105 RASOR BLVD STE 248
PLANO, TX
ZIP 75024-341
Phone: (469) 461-1557

The provider's authorized official is Mayra C Koedam .
The authorized official title is Nurse Practitioner and has the following contact phone number (972) 900-8640.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 7/19/2021.

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	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 4/28/2024

NPI Synchronization or Removal

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