Legacy Place Recovery, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY PLACE RECOVERY, LLC

Practice address

711 E Oldham Ave
Knoxville, TN 37917-5566

Phone

(865) 471-8326

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Davenport, PA-C

Title

Co-Owner

Phone

(931) 808-7504

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295435303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 CLINTON HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122547",
            "telephone_number": "931-808-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E OLDHAM AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175566",
            "telephone_number": "865-471-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PLACE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "931-808-7504",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Leffew
• Krystal Leffler
• Drew Lefmann, M.S.S.W.
• Lakesha McKenzie Leftwich
• Legacy Healthcare Services Inc
• Legacy Tele-Healthcare, LLC
• Legacy Vein Center PLLC
• Sandra Legeman
• Legendary Medical Staffing LLC
• Elizabeth Marie Leggett

• Community/Behavioral Health Agency in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.