Legacy Recovery Center of Jonesboro LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LEGACY RECOVERY CENTER OF JONESBORO LLC

Practice address

2408 Phillips Dr Ste B
Jonesboro, AR 72401-7309

Phone

(949) 664-8781

NPI assigned

Oct 29, 2026

Last updated

Oct 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Forrest Kelly

Title

Admin

Phone

(949) 664-8781

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1578461414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 PHILLIPS DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017309",
            "telephone_number": "949-664-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 PHILLIPS DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017309",
            "telephone_number": "949-664-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RECOVERY CENTER OF JONESBORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "949-664-8781"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Elizabeth Lee, APRN
• Whitney Lauren Lee, QBHP
• Xee Lee
• Zachary Carter Lee, DO
• Edward Louis Lefebvre, LCSW
• Tara Lehman, LPN
• Tera Renea Lehman
• Lance Steven Lenards
• Ethan Leonard
• Mandy Leonard, RN

• Substance Use Disorder Rehabilitation Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.