Legacy Behavioral Health Center Inc

LBN: Legacy Behavioral Health Center Inc
Legacy Behavioral Health Center Inc is an health care organization with primary practice located at 518 Sw Prima Vista Blvd , Port Saint Lucie FL 34983-8734. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Legacy Behavioral Health Center Inc can be contacted via phone (772) 873-8811, or through Pajares, Alicia B. via phone (561) 722-7866.

Contact Information

Primary practice address
518 Sw Prima Vista Blvd Port Saint Lucie FL 34983-8734
Phone: (772) 873-8811
Fax: (772) 873-8800
Website:
Map and Directions
Authorized official contact:
Name: Pajares, Alicia B. Licensed Clinical Social Worker (LCSW)
Phone: (561) 722-7866

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1942977426
LBN Legal business name Legacy Behavioral Health Center Inc
DBA Doing business as
Authorized official Pajares, Alicia B. Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2021
Last updated Aug 24th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942977426 NPPES
Florida MEDICAID 076140103

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