Legacy Comprehensive Health Management LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY COMPREHENSIVE HEALTH MANAGEMENT LLC.

Practice address

412 Ingleside Ave
Emporia, VA 23847-2320

Phone

(434) 532-2164

NPI assigned

Aug 20, 2025

Organization subpart

No

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

Authorized official

Name

Crystal Jolette Mason-DickensNPI 1467339085

Title

Owner

Phone

(252) 578-8334

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Crystal Mason-Dickens

  • Community/Behavioral Health Agency
  • Emporia, VA
  • NPI 1467339085
  NPD Authorized official

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1083591911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S RUSSELL ST",
            "city": "GASTON",
            "state": "NC",
            "postal_code": "278329784",
            "telephone_number": "252-578-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 INGLESIDE AVE",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238472320",
            "telephone_number": "434-532-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COMPREHENSIVE HEALTH MANAGEMENT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "MASON-DICKENS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "JOLETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-578-8334"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyeisha Kyle
• Ellen Luffman Laseter, M.S.W, L.C.S.W
• Bernice L Lee, LPC-R
• Liquitta Atkins Lee
• Legacy Care Support Services LLC
• Wynne V Legrow, M.D.
• Life Enhancement Services LLC
• Lifestar Ambulance Service Inc.
• Jane Jones Lilley, FNP
• Katelyn Lindberg, DDS

• Community/Behavioral Health Agency in Emporia, VA
• Providers in Emporia, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.