Legacy Family Intervention Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY FAMILY INTERVENTION SERVICES, INC.

Practice address

12525 E 27TH PL
Tulsa, OK 74129-8233

Phone

(918) 619-6394

Fax

(918) 639-6394

NPI assigned

Oct 3, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Roshell Denise Collins, LPC

Title

Vice President/Therapist

Phone

(918) 237-1141

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice Nelson

  • Counselor
  • Tulsa, OK
  • NPI 1508295577
  NPD (past)

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1366879488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 E 27TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741298233",
            "telephone_number": "918-619-6394",
            "fax_number": "918-639-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 E 27TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741298233",
            "telephone_number": "918-619-6394",
            "fax_number": "918-639-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY INTERVENTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ROSHELL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "918-237-1141",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deril J Lees Sr., PHARMD
• Willene Leffall, MPA
• Ashley R Leflore, PH.D.
• Legacy Care
• Legacy Care LLC.
• Legacy Healthcare Services Inc
• Legacy Medical Supply
• Ashley Linn Legg, P.A.-C.
• Korey Legnon
• Angie Nichcole Legrand

• Community/Behavioral Health Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.