Active NPI
Larry T Legg II LCSW LLC
- Community/Behavioral Health Agency
- Tampa, FL
National Provider Identifier
1265619746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SW 5685
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.