Legacy Healing and Treatment New Jersey LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY HEALING AND TREATMENT NEW JERSEY LLC

Practice address

800 Kings Hwy N Ste 100
Cherry Hill, NJ 08034-1585

Phone

(609) 267-5656

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Damaris Gonzalez

Title

Director of Operations

Phone

(561) 308-0865

Specialties & licenses 3

Addresses

Tax ID family

Legacy Healing and Treatment New Jersey LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Healing and Treatment New Jersey LLC

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
  • NPI 1417588203
  NPD tax ID
• Legacy Healing and Treatment New Jersey LLC

  • Community/Behavioral Health Agency
  • Margate, FL
  • NPI 1245860956
  NPD tax ID

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1275119869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 N STATE ROAD 7 STE 101",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KINGS HWY N STE 100",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341585",
            "telephone_number": "609-267-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Culver Rd",
            "address_purpose": "LOCATION",
            "city": "Monmouth Junction",
            "state": "NJ",
            "postal_code": "088522818",
            "country_code": "US",
            "telephone_number": "609-267-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY HEALING AND TREATMENT NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "561-308-0865"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Seungyeon Lee, OTR
• Yvonne Lee, APN, PMHNP-BC
• Tiffany Gabrielle Leech, OTRL
• Michael Owen Leff, MD
• Jean R Lefranc, OTR/L
• Legacy Healing and Treatment New Jersey LLC
• Felicia A Legato, OT
• Ellen Kathleen Legrand, DNP, APN, AGPCNP-BC
• Amy Lehman
• Megan Michelle Lehman, OTR/L

• Community/Behavioral Health Agency in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.