Organization Active NPI

Legacy Heirs Consumer Services Inc

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1861349060
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEGACY HEIRS CONSUMER SERVICES INC
Practice address
1839 Lane Ave S Ste 202
Jacksonville, FL 32210-1260
Phone
(904) 667-1692
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Miss Destiny Imari Reynolds
Title
Ceo
Phone
(904) 667-1692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1839 Lane Ave S Ste 202
Jacksonville, FL 32210-1260

Mailing address

1088 Rhonda Rd
Jacksonville, FL 32254-2532
Phone (904) 667-1692

National Provider Directory

National Provider Directory

Locations

1839 Lane Ave S
Ste 202
Jacksonville, FL 32210
Phone (904) 667-1692

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1861349060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 RHONDA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322542532",
            "telephone_number": "904-667-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 LANE AVE S STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101260",
            "telephone_number": "904-667-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEIRS CONSUMER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_middle_name": "IMARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-667-1692",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.