LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC is a psychiatric/mental health nurse practitioner in Temple Hills, MD. LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC NPI is 1912518952. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4700 STAMP RD STE K TEMPLE HILLS, MD ZIP 20748-717 Phone: (301) 880-4900 Fax: (301) 477-4673
The provider's authorized official is Chuks E Nwaulu . The authorized official title is Owner Of The Entity and has the following contact phone number (301) 880-4900.
The enumeration date for this NPI number is 8/13/2020 and was last updated on 8/13/2020.
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:
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: 3/30/2025
NPI Synchronization or Removal
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