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LEGACY WELLNESS SERVICES LLC
NPI 1912579202
Counselor - Mental Health in Hattiesburg, MS

Active since July 15, 2021
6068 US HWY 98 WEST, HATTIESBURG, MS 39402(228) 231-0516 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Wellness Services Llc NPPES

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

LEGACY WELLNESS SERVICES LLC (NPI 1912579202) is a healthcare organization registered as a mental health in Hattiesburg, Mississippi and active in the NPI registry since July 2021. The organization lists Nicole Lewis, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1912579202
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLEGACY WELLNESS SERVICES LLC
Location Address6068 US HWY 98 WESTHattiesburg, MS 39402
Mailing Address6068 Us Hwy 98 West, Ste 1 Box 304Hattiesburg, MS 39402 · (228) 231-0516
Phone(228) 231-0516
Organization SubpartNo
Authorized OfficialNicole LewisClinical Director · (228) 231-0516
Enumeration DateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1912579202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
6068 US HWY 98 WEST, Hattiesburg, MS 39402
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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 SINGLE SPECIALTY GROUP

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 Wellness Services LLC's NPI number?

The NPI number for Legacy Wellness Services LLC is 1912579202. It was assigned to this organization in the NPPES registry on July 15, 2021.

Where is Legacy Wellness Services LLC located?

Legacy Wellness Services LLC is located at 6068 Us Hwy 98 West, Hattiesburg, MS 39402. The listed phone number is (228) 231-0516.

What is Legacy Wellness Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Legacy Wellness Services LLC was last updated on July 15, 2021. 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.