LEGACY PERFORMANCE PARTNERS LLC NPI 1629537295

NPI Information

NPI: 1629537295
Provider Name: LEGACY PERFORMANCE PARTNERS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
207 E CAPITOL AVE STE 206
PIERRE, SD
ZIP 57501
Phone: (605) 494-0531
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LEGACY PERFORMANCE PARTNERS, LLC is a mental health (including community mental health center) clinic center in Pierre, SD. LEGACY PERFORMANCE PARTNERS, LLC NPI is 1629537295. The provider is registered as an organization entity type.

The provider's business location address is:

207 E CAPITOL AVE STE 206
PIERRE, SD
ZIP 57501-159
Phone: (605) 494-0531
Fax: (605) 494-0562

The provider's authorized official is Ada Powell .
The authorized official title is Psychologist and has the following contact phone number (605) 494-0531.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/13/2019.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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