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WELLNESS LEGACY LLC
NPI 1265039549
Nurse Practitioner - Psychiatric/Mental Health in Bel Air, MD

Active since October 08, 2020
260 GATEWAY DR STE 13, BEL AIR, MD 21014(410) 286-1258 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellness Legacy Llc NPPES

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

WELLNESS LEGACY LLC (NPI 1265039549) is a healthcare organization registered as a psychiatric/mental health in Bel Air, Maryland and active in the NPI registry since October 2020. The organization lists Lera Ison, Co- Owner, as its authorized official.

NPPES Registry Identity

NPI1265039549
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELLNESS LEGACY LLC
Location Address260 GATEWAY DR STE 13Bel Air, MD 21014-4268
Mailing Address1539 Blakes Legacy DrBel Air, MD 21014-1946 · (817) 319-6878 · Fax (443) 231-3684
Phone(410) 286-1258
Organization SubpartYes
Authorized OfficialLera IsonCo- Owner · (410) 286-1258
Enumeration DateOctober 8, 2020
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1265039549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
260 GATEWAY DR STE 13, Bel Air, MD 21014
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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.

WELLNESS LEGACY LLC
Nurse Practitioner
260 GATEWAY DR STE 13
BEL AIR, MD 21014
Harford County (410) 286-1258

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 Wellness Legacy LLC's NPI number?

The NPI number for Wellness Legacy LLC is 1265039549. It was assigned to this organization in the NPPES registry on October 8, 2020.

Where is Wellness Legacy LLC located?

Wellness Legacy LLC is located at 260 Gateway Dr Ste 13, Bel Air, MD 21014. The listed phone number is (410) 286-1258.

What is Wellness Legacy LLC'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 Wellness Legacy LLC was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.