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LEGACY BEHAVIORAL HEALTH & WELLNESS
NPI 1144893173
Nurse Practitioner - Psychiatric/Mental Health in Plano, TX

Active since July 19, 2021
8105 RASOR BLVD STE 248, PLANO, TX 75024(469) 461-1557 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Behavioral Health & Wellness NPPES

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

LEGACY BEHAVIORAL HEALTH & WELLNESS (NPI 1144893173) is a healthcare organization registered as a psychiatric/mental health in Plano, Texas and active in the NPI registry since July 2021. The organization lists Mayra C Koedam, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1144893173
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLEGACY BEHAVIORAL HEALTH & WELLNESS
Location Address8105 RASOR BLVD STE 248Plano, TX 75024-0341
Mailing Address3700 Legacy Dr Apt 28206Frisco, TX 75034-6643 · (972) 900-8640
Phone(469) 461-1557
Organization SubpartNo
Authorized OfficialMayra C KoedamNurse Practitioner · (972) 900-8640
Enumeration DateJuly 19, 2021
NPPES CertifiedJuly 19, 2021
✔ NPI 1144893173 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
8105 RASOR BLVD STE 248, Plano, TX 75024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LEGACY BEHAVIORAL HEALTH & WELLNESS
Nurse Practitioner (Primary Care)
8105 RASOR BLVD STE 248
PLANO, TX 75024
Collin County (469) 461-1557

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 Behavioral Health & Wellness's NPI number?

The NPI number for Legacy Behavioral Health & Wellness is 1144893173. It was assigned to this organization in the NPPES registry on July 19, 2021.

Where is Legacy Behavioral Health & Wellness located?

Legacy Behavioral Health & Wellness is located at 8105 Rasor Blvd Ste 248, Plano, TX 75024. The listed phone number is (469) 461-1557.

What is Legacy Behavioral Health & Wellness'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 Behavioral Health & Wellness was last updated on July 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.