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The Legacy House Pllc
Multi-Specialty Clinic/Center in Panama City, Florida
NPI 1932734845

The Legacy House Pllc is a Multi-Specialty Clinic/Center based in Panama City, FL and is specialized in Multi-Specialty. The Legacy House Pllc practices in Panama City, FL. The NPI Number for The Legacy House Pllc is 1932734845 and holds a License No. (Florida).

The current practice location address for The Legacy House Pllc is 2615 W 23Rd St, Panama City, FL and can be reached out via phone at 850-331-0134 and via fax at 850-306-6721.

Location: 2615 W 23Rd St, Panama City, FL, 32405-2339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932734845
Provider Name
The Legacy House Pllc
Credential
Provider Entity Type
Organization
Address
2615 W 23Rd St, Panama City, FL, 32405-2339
Phone Number
850-331-0134
Fax Number
850-306-6721
Provider Enumeration Date
03/11/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2615 W 23Rd St
City
Panama City
State
Florida
Zip
32405-2339
Phone Number
850-331-0134
Fax Number
850-306-6721
person
Provider Business Mailing Address Details
Address
2615 W 23Rd St
City
Panama City
State
Florida
Zip
32405-2339
Phone Number
850-331-0134
Fax Number
850-306-6721
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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