LEGACY LIFE CARE PROGRAMS NPI 1962746842

NPI Information

  • NPI: 1962746842
  • Provider Name: LEGACY LIFE CARE PROGRAMS
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • :
  • Address: 1324 TROTWOOD AVE STE 11
    COLUMBIA, TN
    ZIP 38401
  • Phone: (931) 626-1644

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NPI Details

LEGACY LIFE CARE PROGRAMS is a community behavioral health in Columbia, TN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LEGACY LIFE CARE PROGRAMS NPI is 1962746842. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1324 TROTWOOD AVE STE 11
COLUMBIA, TN
ZIP 38401-750
Phone: (931) 626-1644
Fax: (931) 381-5363

The provider's authorized official is Linda R Smith .
The authorized official title is Ceo/president and has the following contact phone number (931) 215-2182.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 9/2/2025.

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
1101YM0800XCounselorMental Health1000000018345TENNESSEENo
21041C0700XSocial WorkerClinical1000000011378TENNESSEENo
3251V00000XVoluntary or Charitable1000000018345TENNESSEENo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5251S00000XCommunity/Behavioral Health1000000011378TENNESSEEYes

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
11437420742MEDICAIDTENNESSEE
2NPI 1265768428OTHERTENNESSEESUPERVISOR
3Q006613MEDICAIDTENNESSEE
41962746842OTHERTENNESSEEGROUP NPI
51225450802OTHERTENNESSEEINDIVIDUAL PROVIDER NPI
61669548608OTHERTENNESSEESUPERVISING PROVIDER NPI
7H445654MEDICAIDTENNESSEE
8Q010864MEDICAIDTENNESSEE

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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