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LEGACY MENTAL HEALTH SERVICES PROFESSIONAL CORPORATION
NPI 1083420244
Nurse Practitioner - Psychiatric/Mental Health in Henderson, NV

Active since December 03, 2024
2850 W HORIZON RIDGE PKWY STE 200, HENDERSON, NV 89052(702) 605-7018 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2024, Dec 3, 2024 (2 updates tracked since 2024).

About Legacy Mental Health Services Professional Corporation NPPES

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

LEGACY MENTAL HEALTH SERVICES PROFESSIONAL CORPORATION (NPI 1083420244) is a healthcare organization registered as a psychiatric/mental health in Henderson, Nevada and active in the NPI registry since December 2024. The organization lists Tyisha Renee Fletcher, Owner, as its authorized official.

NPPES Registry Identity

NPI1083420244
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLEGACY MENTAL HEALTH SERVICES PROFESSIONAL CORPORATION
Location Address2850 W HORIZON RIDGE PKWY STE 200Henderson, NV 89052-4395
Mailing Address12267 Harvest Sky Way Unit 3Las Vegas, NV 89183-5974 · (310) 251-6727
Phone(702) 605-7018
Organization SubpartNo
Authorized OfficialTyisha Renee FletcherOwner · (702) 605-7018
Enumeration DateDecember 3, 2024
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1083420244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2850 W HORIZON RIDGE PKWY STE 200, Henderson, NV 89052
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIES AUTISM SERVICES
Behavior Analyst
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052
Clark County (702) 789-6950
LAUREN JONES
Behavior Technician
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052
Clark County (702) 781-0010
BRITTANY FRYER RDN, LD
Dietitian, Registered
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052
Clark County (702) 485-7235
RAELIN BRIGHT WELLNESS, LLC
Nurse Practitioner (Psychiatric/Mental Health)
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052
Clark County (725) 234-2215
MIND MATTERS THERAPY LLC
Clinic/Center
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052
Clark County (877) 926-6463
MELISSA PASTOR
Rehabilitation Practitioner
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052
Clark County (702) 430-4589
DOMINIQUE ASHLEY RUSSO RDN, LD
Dietitian, Registered
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052
Clark County (702) 485-7235
MARIANNE BISTREK
Behavior Technician
2850 W HORIZON RIDGE PKWY STE 200
HENDERSON, NV 89052
Clark County (702) 781-0010

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 Legacy Mental Health Services Professional Corporation's NPI number?

The NPI number for Legacy Mental Health Services Professional Corporation is 1083420244. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Legacy Mental Health Services Professional Corporation located?

Legacy Mental Health Services Professional Corporation is located at 2850 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052. The listed phone number is (702) 605-7018.

What is Legacy Mental Health Services Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Legacy Mental Health Services Professional Corporation was last updated on December 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.