LEGACY HEALING & THERAPY SERVICES LLC
NPI 1881297109
Clinic/Center - Mental Health (Including Community Mental Health Center) in Herndon, VA

Active since November 19, 2020
2162 ASTORIA CIR APT 403, HERNDON, VA 20170(571) 306-2286 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Healing & Therapy Services Llc NPPES

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

LEGACY HEALING & THERAPY SERVICES LLC (NPI 1881297109) is a healthcare organization registered as a mental health (including community mental health center) in Herndon, Virginia and active in the NPI registry since November 2020. The organization lists Raven E Dickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1881297109
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLEGACY HEALING & THERAPY SERVICES LLC
Location Address2162 ASTORIA CIR APT 403Herndon, VA 20170-4070
Mailing Address2162 Astoria Cir Apt 403Herndon, VA 20170-4070 · (571) 306-2286
Organization SubpartNo
Authorized OfficialRaven E DickersonOwner · (571) 306-2286
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1881297109 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
2162 ASTORIA CIR APT 403, Herndon, VA 20170

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
2162 ASTORIA CIR APT 403
HERNDON, VA 20170

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 Healing & Therapy Services LLC's NPI number?

The NPI number for Legacy Healing & Therapy Services LLC is 1881297109. It was assigned to this organization in the NPPES registry on November 19, 2020.

Where is Legacy Healing & Therapy Services LLC located?

Legacy Healing & Therapy Services LLC is located at 2162 Astoria Cir Apt 403, Herndon, VA 20170. The listed phone number is (571) 306-2286.

What is Legacy Healing & Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Legacy Healing & Therapy Services LLC was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.