Legacy Life Care Programs-Brentwood

LBN: Legacy Life Care Programs
Legacy Life Care Programs-Brentwood is an health care organization with primary practice located at 1661 Mallory Ln , Brentwood TN 37027-7931. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Agencies / In Home Supportive Care. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Legacy Life Care Programs can be contacted via phone (931) 626-1644, or through Smith, Linda R via phone (931) 215-2182.

Contact Information

Primary practice address
1661 Mallory Ln Brentwood TN 37027-7931
Fax: (931) 381-5363
Website:
Authorized official contact:
Name: Smith, Linda R N.H.A. M.P.S./IMFT

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1000000011378 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC00000003314 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1000000018345 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 1000000011378 Tennessee
Behavioral Health & Social Service Providers / Social Worker 104100000X 1000000011378 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1000000011378 Tennessee
Agencies / Community/Behavioral Health 251S00000X 1000000011378 Tennessee
Agencies / Voluntary or Charitable 251V00000X 1000000018345 Tennessee
Agencies / In Home Supportive Care 253Z00000X 1000000011378 Tennessee

Profile Details

NPI number 1962746842
LBN Legal business name Legacy Life Care Programs
DBA Doing business as Legacy Life Care Programs-Brentwood
Authorized official Smith, Linda R N.H.A. M.P.S./IMFT
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 16th, 2012
Last updated Jul 14th, 2016 - about 8 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 1962746842 NPPES
Tennessee MEDICAID H445654
Tennessee MEDICAID Q010864
Tennessee Other 1962746842
Tennessee MEDICAID 1437420742
Tennessee Other NPI 1265768428
Tennessee Other 1225450802
Tennessee Other 1669548608
Tennessee MEDICAID Q006613

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