LEGACY BEHAVIORAL HEALTH CENTER (NPI# 1629234422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629234422 |
| Entity Type | Organization |
| Organization Name | LEGACY BEHAVIORAL HEALTH CENTER |
| Practice Address |
643 Se Chapman Ave. Port St Lucie FL 34984 |
| Mailing Address |
643 Se Chapman Ave Port St Lucie FL 34984-4502 |
| Practice Telephone | 7728736640 |
| Mailing Telephone | 7728736640 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | MRS. LYSANDRA ADORNO (BEHABIORAL TECHNICIAN) |
| Authorized Official Telephone | 7728736640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134465610 | Legacy Behavioral Health Center | Case Management | 512 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-1943 | 2013-01-02 |
| 1427283423 | Legacy Behavioral Health Center | Case Management | 15818 Sw Warfield Blvd, Indiantown, FL 34956-3513 | 2009-05-19 |
| Street Address |
643 SE CHAPMAN AVE. |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
| 1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
| 1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
| 1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
| 1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
| 1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
| 1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
| 1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
| 1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
| 1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
| Find all providers in zip 34984 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808063 | Harmony House Recovery | Community/Behavioral Health | 810 Nw Greenwich Ct, Port St Lucie, FL 34983-3403 | 2018-04-16 |
| 1629528922 | Positive Solutions PCs | Community/Behavioral Health | 4949 Nw Foxworth Ave, Port St Lucie, FL 34983-2302 | 2016-10-11 |
| 1851848436 | Crosstown Family Care Home, Inc | Community/Behavioral Health | 1850 Sw Mackenzie St, Port St Lucie, FL 34953-1329 | 2016-09-01 |
| 1487052627 | Helping People Succeed | Community/Behavioral Health | 1429 Sw Medina Ave, Port St Lucie, FL 34953-4919 | 2014-12-19 |
| 1609194646 | Hardcore Support Services, Inc. | Community/Behavioral Health | 4502 Sw Floral St, Port St Lucie, FL 34953-7621 | 2010-05-14 |
| 1134669427 | Mind & Body Counseling Institute | Community/Behavioral Health | 1949 Sw Idaho Ln, Port St Lucie, FL 34953-1883 | 2017-03-06 |
| 1801298286 | Sinfonia Family Services of Florida, Inc | Community/Behavioral Health | 548 Nw University Blvd, Suite 102, Port St Lucie, FL 34986-2284 | 2014-09-17 |
| 1194012252 | Childrens Home Society Treasure Coast | Community/Behavioral Health | 590 Nw Peacock Blvd, Suite 9, Port St Lucie, FL 34986-2213 | 2011-07-08 |
| 1215110820 | Family Therapy Services, Inc. | Community/Behavioral Health | 10801 Sw Tradition Sq, Port St Lucie, FL 34987-1934 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34984 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.