Legacy Behavioral Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LEGACY BEHAVIORAL HEALTH

Practice address

189 Mose Dr
Sparta, TN 38583-3401

Phone

(931) 607-8572

NPI assigned

Aug 6, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Brady Wayne Lawson

Title

Founder/ Ceo

Phone

(931) 607-8572

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1538083019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 OAKLAND DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831429",
            "telephone_number": "931-607-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MOSE DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385833401",
            "telephone_number": "931-607-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "FOUNDER/ CEO",
        "authorized_official_telephone_number": "931-607-8572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sue Knowles, FNP-BC
• Kalyani Medicherla Kumar, M.D.
• Medicherla Shyam Sunder Kumar, MD
• Abbi Kuykendall, OTD/L
• Kristen Lee
• Jason Lee Lewis, MA, MBC, LMFT, MPA
• Life Force, LLC
• Life Reimagined LLC
• Tyler Livesay
• Living Water Prevention Program Facility

• Mental Illness Community Based Residential Treatment Facility in Sparta, TN
• Providers in Sparta, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.