Legacy League Family Wellness Llc

LBN: Legacy League Family Wellness Llc
Legacy League Family Wellness Llc is an health care organization with primary practice located at 14215 110Th Ave , Jamaica NY 11435-5624. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Legacy League Family Wellness Llc can be contacted via phone (917) 923-5341, or through Evanson, Twila via phone (917) 923-5341.

Contact Information

Primary practice address
14215 110Th Ave Jamaica NY 11435-5624
Phone: (917) 923-5341
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evanson, Twila Licensed Clinical Social Worker (LCSW)
Phone: (917) 923-5341

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1487361234
LBN Legal business name Legacy League Family Wellness Llc
DBA Doing business as
Authorized official Evanson, Twila Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2022
Last updated Nov 1st, 2022 - about 2 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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