Legacy'S Impact Intervention L.L.C

LBN: Legacy'S Impact Intervention L.L.C
Legacy'S Impact Intervention L.L.C is an health care organization with primary practice located at 3606 Idaho Ave , Bartlesville OK 74006-2420. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Legacy'S Impact Intervention L.L.C can be contacted via phone (918) 766-6998, or through Crowder, Shonta via phone (918) 766-6998.

Contact Information

Primary practice address
3606 Idaho Ave Bartlesville OK 74006-2420
Phone: (918) 766-6998
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crowder, Shonta Licensed Clinical Social Worker (LCSW)
Phone: (918) 766-6998

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1336770627
LBN Legal business name Legacy'S Impact Intervention L.L.C
DBA Doing business as
Authorized official Crowder, Shonta Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2020
Last updated Jan 27th, 2020 - about 4 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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