Active NPI
Strong Legacy Youth Services, LLC
- Community/Behavioral Health Agency
- Dallas, TX
National Provider Identifier
1174765861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- STRONG LEGACY YOUTH SERVICES, LLC
- Practice address
- 1140 Empire Central PL
106E
Dallas, TX 75247-4317 - Phone
- (678) 362-9955
- Fax
- (866) 379-8708
- NPI assigned
- Mar 27, 2009
- Last updated
- Apr 1, 2009
- 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
- Mr. Robert Ashford
- Title
- Ceo
- Phone
- (804) 267-1899
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1140 Empire Central PL
106E
Dallas, TX 75247-4317
Mailing address
1140 Empire Central PL
106E
Dallas, TX 75247-4317
Phone (678) 362-9955
Other names 1
- Strong Foundation Youth Initiative
National Provider Directory
National Provider DirectoryLocations
1140 Empire Central Pl
Ste 106E
Dallas, TX 75247
Phone (678) 362-9955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1174765861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 EMPIRE CENTRAL PL",
"address_2": "106E",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474317",
"telephone_number": "678-362-9955",
"fax_number": "866-379-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 EMPIRE CENTRAL PL",
"address_2": "106E",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474317",
"telephone_number": "678-362-9955",
"fax_number": "866-379-8708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRONG LEGACY YOUTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-27",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "ASHFORD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-267-1899",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Strong Foundation Youth Initiative",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.