The Legacy Workshop LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS13585 Issued in CA

Legal business name

THE LEGACY WORKSHOP LLC

Practice address

8215 Cora St
Sunland, CA 91040-3212

Phone

(818) 531-5507

NPI assigned

Jul 18, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Garcia Egan, LCSW

Title

Owner

Phone

(818) 531-5507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1962844993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 CORA ST",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403212",
            "telephone_number": "818-531-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 CORA ST",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403212",
            "telephone_number": "818-531-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEGACY WORKSHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-531-5507",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS13585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.