LEGENDARY HEALTH PERFORMANCE, LLC
NPI 1730877812
Community/Behavioral Health in Waianae, HI
- Organization
- Community/Behavioral Health
About LEGENDARY HEALTH PERFORMANCE, LLC
This page provides the complete NPI Profile along with additional information for Legendary Health Performance, Llc, a provider established in Waianae, Hawaii operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1730877812 assigned on April 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Tiffany Jarae Wilson-landrum Psyd (Licensed Clinical Psychologist)
- NPI
- 1730877812 Verify this NPI
- Provider Name
- LEGENDARY HEALTH PERFORMANCE, LLC
- Entity Type
- Organization
- Location Address
- 86-058 ALTA ST WAIANAE, HI 96792
- Location Phone
- (808) 358-0800
- Mailing Address
- PO BOX 4055 WAIANAE, HI 96792
- Mailing Phone
- (808) 358-0800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2023
- Last Update Date
- 04-27-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730877812, enumerated as an "organization" on April 27, 2023.
The provider is located at 86-058 ALTA ST WAIANAE, HI 96792 and the phone number is (808) 358-0800.
Community/Behavioral Health with taxonomy code 251S00000X.
