Organization Active NPI

Larry T Legg II LCSW LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1265619746
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW 5685 Issued in FL
Legal business name
LARRY T LEGG II LCSW LLC
Practice address
8019 N Himes Ave
Suite 311
Tampa, FL 33614-2712
Phone
(813) 965-2800
Fax
(813) 933-4265
NPI assigned
Jan 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mr. Larry Theodore Legg II, LCSW
Title
Managing Member
Phone
(813) 965-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW 5685 FL Primary

Addresses

Primary practice location

8019 N Himes Ave
Suite 311
Tampa, FL 33614-2712

Mailing address

1820 Latelia CT
Trinity, FL 34655-4907
Phone (813) 965-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1265619746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 LATELIA CT",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554907",
            "telephone_number": "813-965-2800",
            "fax_number": "813-933-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 N HIMES AVE",
            "address_2": "SUITE 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142712",
            "telephone_number": "813-965-2800",
            "fax_number": "813-933-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY T LEGG II LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-27",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "LEGG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-965-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW 5685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.