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

Legacy Behavioral Health & Wellness

Organization Family Nurse Practitioner · NPI 1144893173

Legacy Behavioral Health & Wellness is a Family Nurse Practitioner in Plano, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

8105 Rasor Blvd Ste 248
Plano, TX 75024-0341
Phone: (469) 461-1557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1144893173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mayra Koedam — Nurse Practitioner · (972) 900-8640
NPI enumeratedJuly 19, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address3700 Legacy Dr Apt 28206, Frisco, TX 75034-6643

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