DIVINE LEGACY
NPI 1073072260
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brooklyn Center, MN

Active since March 18, 2019
3300 COUNTY ROAD 10 STE 318, BROOKLYN CENTER, MN 55429(763) 439-2588 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Legacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE LEGACY (NPI 1073072260) is a healthcare organization registered as a mental health (including community mental health center) in Brooklyn Center, Minnesota and active in the NPI registry since March 2019. The organization lists Lakesia Aycock, Administration/mhp, as its authorized official.

NPPES Registry Identity

NPI1073072260
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDIVINE LEGACY
Location Address3300 COUNTY ROAD 10 STE 318Brooklyn Center, MN 55429-3066
Mailing Address3300 County Road 10 Ste 318Brooklyn Center, MN 55429-3066 · (763) 439-2588
Organization SubpartNo
Authorized OfficialLakesia AycockAdministration/mhp · (763) 439-2588
Enumeration DateMarch 18, 2019
NPI 1073072260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Corporate HealthTaxonomy 261QC1800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
3300 COUNTY ROAD 10 STE 318, Brooklyn Center, MN 55429

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Legacy's NPI number?

The NPI number for Divine Legacy is 1073072260. It was assigned to this organization in the NPPES registry on March 18, 2019.

Where is Divine Legacy located?

Divine Legacy is located at 3300 County Road 10 Ste 318, Brooklyn Center, MN 55429. The listed phone number is (763) 439-2588.

What is Divine Legacy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Divine Legacy accept?

Health plans from HealthPartners list Divine Legacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divine Legacy was last updated on March 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.