Legacy Mental Health Services Professional Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LEGACY MENTAL HEALTH SERVICES PROFESSIONAL CORPORATION

Practice address

2850 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4395

Phone

(702) 605-7018

NPI assigned

Dec 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tyisha Renee Fletcher, PMHNPNPI 1144687047

Title

Owner

Phone

(702) 605-7018

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyisha Renee Fletcher, PMHNP - BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
  • NPI 1144687047

  Family

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1083420244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12267 HARVEST SKY WAY UNIT 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835974",
            "telephone_number": "310-251-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W HORIZON RIDGE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524395",
            "telephone_number": "702-605-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MENTAL HEALTH SERVICES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "TYISHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-605-7018",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Branden Lefevre, PA-C
• Alicia Leffner
• Monique Leflore
• Monique Yelanda Samone Leflore
• Legacy Hospice and Palliative Care Inc
• Legend Hospice Inc
• Marilyn Lehrner, O.D.
• Michael Peisach Leibman, M.D.
• Tamara Leibovich
• Stacy Leifried, APRN

• Psychiatric/Mental Health Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.