Legacy Behavioral Health & Wellness

LBN: Legacy Behavioral Health & Wellness
Legacy Behavioral Health & Wellness is an health care organization with primary practice located at 8105 Rasor Blvd Ste 248 , Plano TX 75024-0341. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Legacy Behavioral Health & Wellness can be contacted via phone (469) 461-1557, or through Koedam, Mayra Cruz via phone (972) 900-8640.

Contact Information

Primary practice address
8105 Rasor Blvd Ste 248 Plano TX 75024-0341
Phone: (469) 461-1557
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koedam, Mayra Cruz FNP-C, PMHNP-BC
Phone: (972) 900-8640

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1528733359
LBN Legal business name Legacy Behavioral Health & Wellness
DBA Doing business as
Authorized official Koedam, Mayra Cruz FNP-C, PMHNP-BC
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 13th, 2021
Last updated Aug 13th, 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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