Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icon Legacy Group LLC

Organization Mental Health Counselor · NPI 1558948364

Icon Legacy Group LLC is a Mental Health Counselor in Cedar Hill, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

802 Switzer Ln
Cedar Hill, TX 75104-7254
Phone: (214) 803-4512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558948364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Wagner — Ceo · (214) 803-4512
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address802 Switzer Ln, Cedar Hill, TX 75104-7254

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