LEGACY THERAPEUTIC CENTER LLC - NPI 1144738188 - Clinic/Center in Las Vegas, NV

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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About Legacy Therapeutic Center Llc NPPES

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

LEGACY THERAPEUTIC CENTER LLC (NPI 1144738188) is a healthcare organization registered as a mental health (including community mental health center) in Las Vegas, Nevada and active in the NPI registry since January 2018. The organization lists Michael Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1144738188

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameLEGACY THERAPEUTIC CENTER LLC

Location Address4530 S EASTERN AVE STE 1Las Vegas, NV 89119-6181

Mailing Address4530 S Eastern Ave Ste 1Las Vegas, NV 89119-6181 · (772) 480-5611

Phone(772) 480-5611

Organization SubpartNo

Authorized OfficialMichael HarrisonOwner · (772) 480-5611

Enumeration DateJanuary 11, 2018

✔ NPI 1144738188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

4530 S EASTERN AVE STE 1, Las Vegas, NV 89119

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

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