Legendary Life Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGENDARY LIFE SOLUTIONS, LLC

Doing business as

Trinity Life Solutions of Northwest Florida, LLC

Practice address

2809 W 15TH St
Suite 102
Panama City, FL 32401-1358

Phone

(850) 778-2233

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Alesia Rhodes

Title

Chief Executive Director

Phone

(850) 319-7358

Specialties & licenses 2

Addresses

Other names 1

• Trinity Life Solutions of Northwest Florida, LLC Doing business as

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1710346879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N CENTER AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324014524",
            "telephone_number": "850-319-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 W 15TH ST",
            "address_2": "SUITE 102",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011358",
            "telephone_number": "850-778-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY LIFE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "ALESIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-319-7358"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Life Solutions of Northwest Florida, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Anna Lee, LMT
• Jodi Michele Lee, M.A. LMHC
• Sandra Dee Lee, LMHC
• Mary Clarke Leeber, NP-C
• Denise C Leete, ARNP
• Crystal Leitz
• Jean Marie Leles, RN
• Courtney Lenox
• Dan Earl Lenz, CRNA
• Leslie Jones Adkinson

• Community/Behavioral Health Agency in Panama City, FL
• Providers in Panama City, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.