LEGACY TREATMENT LLC
NPI 1952877219
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since October 15, 2018
4432 PARK HEIGHTS AVE, BALTIMORE, MD 21215(410) 728-4491(410) 728-5729 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Treatment Llc NPPES

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

LEGACY TREATMENT LLC (NPI 1952877219) is a healthcare organization registered as an addiction (substance use disorder) in Baltimore, Maryland and active in the NPI registry since October 2018. The organization lists Lloyd A Wynn, Coo, as its authorized official.

NPPES Registry Identity

NPI1952877219
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameLEGACY TREATMENT LLC
Location Address4432 PARK HEIGHTS AVEBaltimore, MD 21215-6315
Mailing Address4432 Park Heights AveBaltimore, MD 21215-6315 · (410) 728-4491 · Fax (410) 728-5729
Fax(410) 728-5729
Organization SubpartYes
Authorized OfficialLloyd A WynnCoo · (973) 558-8514
Enumeration DateOctober 15, 2018
NPI 1952877219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4432 PARK HEIGHTS AVE, Baltimore, MD 21215

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

Other Providers at the Same Location NPPES 4

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

Community Based Residential Treatment Facility, Mental Illness
4432 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Clinical Medical Laboratory
4432 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Counselor (Addiction (Substance Use Disorder))
4432 PARK HEIGHTS AVE
BALTIMORE, MD 21215
Clinic/Center (Rehabilitation, Substance Use Disorder)
4432 PARK HEIGHTS AVE
BALTIMORE, MD 21215

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 Treatment LLC's NPI number?

The NPI number for Legacy Treatment LLC is 1952877219. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is Legacy Treatment LLC located?

Legacy Treatment LLC is located at 4432 Park Heights Ave, Baltimore, MD 21215. The listed phone number is (410) 728-4491.

What is Legacy Treatment LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Legacy Treatment LLC was last updated on October 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.