Active NPI
Legacy Behavioral Health Center, Inc
- Case Management Agency
- Vero Beach, FL
National Provider Identifier
1043501018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LEGACY BEHAVIORAL HEALTH CENTER, INC
- Practice address
- 835 Azalea LN
Apt. 11
Vero Beach, FL 32963-4900 - Phone
- (772) 584-6772
- NPI assigned
- Apr 26, 2011
- Last updated
- Apr 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yolanda Loureda, M.ED.
- Title
- Human Resources Consultant
- Phone
- (561) 310-4513
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 014520 | TN | |
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
835 Azalea LN
Apt. 11
Vero Beach, FL 32963-4900
Mailing address
835 Azalea Lane
Apt. 11
Vero Beach, FL 32963-4900
Phone (772) 584-6772
National Provider Directory
National Provider Directory- Tax ID family
- Cape Cod Anesthesia Associates
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Locations
835 Azalea Ln
Apt 11
Vero Beach, FL 32963
Phone (772) 584-6772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303776000000",
"number": "1043501018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 AZALEA LANE",
"address_2": "APT. 11",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329634900",
"telephone_number": "772-584-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 AZALEA LN",
"address_2": "APT. 11",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329634900",
"telephone_number": "772-584-6772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY BEHAVIORAL HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-26",
"last_updated": "2011-04-26",
"status": "A",
"authorized_official_last_name": "LOUREDA",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "HUMAN RESOURCES CONSULTANT",
"authorized_official_telephone_number": "561-310-4513",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.ED."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TN",
"license": "014520",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.