LEGACY TREATMENT SERVICES (NPI# 1841673407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841673407 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERVICES |
| Practice Address |
795 Woodlane Rd Suite #301 Westampton NJ 08060-3832 |
| Mailing Address |
1289 Route 38 Suite #203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6092883067 |
| Practice Fax Number | 6092651895 |
| Mailing Telephone | 6092883067 |
| Mailing Fax Number | 6092651895 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | BETTY GARRISON (CFO) |
| Authorized Official Telephone | 6092883067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NJ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| 1659755668 | Legacy Treatment Services | Community/Behavioral Health | 119 Creek Rd, Lumberton, NJ 08048-5229 | 2015-07-20 |
| 1518363316 | Legacy Treatment Services | Community/Behavioral Health | 110 Old Turnpike Road, Oldwick, NJ 08858 | 2014-11-06 |
| 1316342553 | Legacy Treatment Services | Community/Behavioral Health | 74 Hawkin Rd, New Egypt, NJ 08533-2824 | 2014-10-30 |
| 1942605183 | Legacy Treatment Services | Community/Behavioral Health | 553 Monmouth Rd, Wrightstown, NJ 08562-2125 | 2014-10-30 |
| 1396128955 | Legacy Treatment Services | Clinic/Center | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2015-07-01 |
| 1881085637 | Legacy Treatment Services | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2015-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES | 3837 Mayfair St, Pittsburgh, PA 15204-1011 |
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES, INC | 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730 |
| Street Address |
795 WOODLANE RD SUITE #301 |
| City | WESTAMPTON |
| State | NJ |
| Zip Code | 08060-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376604223 | Margaret Ann Willman | Psychiatry & Neurology | 795 Woodlane Rd, Suite 301, Westampton, NJ 08060-3832 | 2006-12-13 |
| 1386250645 | Amanda Graga | Social Worker | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2020-09-21 |
| 1124672423 | Oaks Integrated Care | Clinic/Center | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2019-07-25 |
| 1881153732 | Miriam Rebekah Egan | Counselor | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2019-03-19 |
| 1265991202 | Cinthya Castro | Counselor | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2019-03-19 |
| 1386115780 | Victoria Ann Heifet | Social Worker | 795 Woodlane Rd, Westampton, NJ 08060-3832 | 2018-12-10 |
| 1639611817 | Jericka Brown | Counselor | 795 Woodlane Rd, Suite 301, Westampton, NJ 08060-3832 | 2016-11-05 |
| 1437548633 | Stephanie Lyman | Counselor | 795 Woodlane Rd, 3rd Floor, Westampton, NJ 08060-3832 | 2015-01-12 |
| 1053709097 | Alison Botto | Counselor | 795 Woodlane Rd, Suite 301, Westampton, NJ 08060-3832 | 2014-12-29 |
| 1073917753 | Nicole M Keenan | Counselor | 795 Woodlane Rd, 301, Westampton, NJ 08060-3832 | 2014-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| 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 |
|---|---|---|---|---|
| 1376045377 | Oaks Integrated Care | Community/Behavioral Health | 770 Woodlane Rd Ste 65, Westampton, NJ 08060-3805 | 2018-03-06 |
| 1467800292 | Merakey New Jersey | Community/Behavioral Health | 404 Freedom Blvd, Westampton, NJ 08060-9679 | 2016-06-02 |
| 1821305418 | Nj Behavior Support Services | Community/Behavioral Health | 33 Lancaster Dr, Westampton, NJ 08060-2452 | 2010-09-03 |
| 1003393323 | Oaks Integrated Care, Inc | Community/Behavioral Health | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-07-20 |
| 1023410388 | Tamar Paige | Community/Behavioral Health | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2014-09-18 |
| 1114345774 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 795 Woodlane Rd, Suite #301, Westampton, NJ 08060-3832 | 2014-04-01 |
| 1700204393 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 795 Woodlane Rd, Suite #301, Westampton, NJ 08060-3832 | 2014-04-01 |
| 1497029938 | Twin Oaks Community Services, Inc. | Community/Behavioral Health | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2012-03-01 |
| 1134493679 | Twin Oaks Community Services, Inc | Community/Behavioral Health | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2012-03-01 |
| 1982978425 | Twin Oaks Community Services, Inc | Community/Behavioral Health | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2012-03-01 |
| Find all providers in WESTAMPTON | ||||
| City | WESTAMPTON |
| Zip Code | 08060 |
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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.