Legacy Medical Clinic With Mental Health, Llc

LBN: Legacy Medical Clinic With Mental Health, Llc
Legacy Medical Clinic With Mental Health, Llc is an health care organization with primary practice located at 4700 Stamp Rd Ste K , Temple Hills MD 20748-6717. 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 / Family is the primary health care specialty. Legacy Medical Clinic With Mental Health, Llc can be contacted via phone (301) 880-4900, or through Nwaulu, Chuks via phone (240) 422-0687.

Contact Information

Primary practice address
4700 Stamp Rd Ste K Temple Hills MD 20748-6717
Phone: (301) 880-4900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nwaulu, Chuks
Phone: (240) 422-0687

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 1245095843
LBN Legal business name Legacy Medical Clinic With Mental Health, Llc
DBA Doing business as
Authorized official Nwaulu, Chuks
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2024
Last updated Feb 14th, 2024 - about 9 months 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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