Legacy Behavioral Health Center Inc in Indiantown - Clinical
Legacy Behavioral Health Center Inc - NPI 1568439685
Legacy Behavioral Health Center Inc is a Clinical in Indiantown, Florida. Legacy Behavioral Health Center Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Legacy Behavioral Health Center Inc is 1568439685. The last update date is 2020-02-04.
Legacy Behavioral Health Center Inc's current location address is Po Box 458, Indiantown, Florida. You can contact this provider via phone number 7725970411 and fax number 7725970412. The mailing address for Legacy Behavioral Health Center Inc is Po Box 458, Indiantown, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legacy Behavioral Health Center Inc |
|---|---|
| Address | Po Box 458, Indiantown, Florida |
| Phone Number | 7725970411 |
| Fax Number | 7725970412 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pajares B. Alicia |
| Credentials | LCSW |
| Telephone Number | 5617227866 |
NPI Number Detail
| NPI Number | 1568439685 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2020-02-04 |
Provider Mailing Address Detail
| Address | Po Box 458 |
|---|---|
| City | Indiantown |
| State | Florida (FL) |
| Post Code | 349560458 |
| Phone Number | 7725970411 |
| Fax Number | 7725970412 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW5271 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 600058153 | FL | MAGELLAN HMO | |
| 76140100 | FL | -- |
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What is the unique identification code assigned to Legacy Behavioral Health Center Inc by the Centers for Medicare & Medicaid Services?
The Legacy Behavioral Health Center Inc has been issued the NPI (National Provider Identifier) 1568439685. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code assigned to Legacy Behavioral Health Center Inc by the Centers for Medicare & Medicaid Services?
The Legacy Behavioral Health Center Inc has been issued the NPI (National Provider Identifier) 1568439685 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
What is Legacy Behavioral Health Center Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Legacy Behavioral Health Center Inc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568439685 to Legacy Behavioral Health Center Inc?
The Centers for Medicare & Medicaid Services assigned the 1568439685 to Legacy Behavioral Health Center Inc on 2006-03-07.
When was the information related to Legacy Behavioral Health Center Inc most recently updated or refreshed?
The details pertaining to the Legacy Behavioral Health Center Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-02-04.
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