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 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Legacy Behavioral Health & Wellness can be contacted via phone (469) 461-1557, or through Koedam, Mayra C 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 C FNP-C, PMHNP-BC
Phone: (972) 900-8640

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1144893173
LBN Legal business name Legacy Behavioral Health & Wellness
DBA Doing business as
Authorized official Koedam, Mayra C FNP-C, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - about 3 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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