Legacy Behavioral Health Services LLC
Legacy Behavioral Health Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Waldorf, Maryland. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10463 Ponderosa Pine AveWaldorf, MD 20603-5794
Phone: (315) 547-0502
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1376474783 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Becky Jacks — Owner · (315) 547-0502 |
| NPI enumerated | May 26, 2026 |
| Last updated in NPPES | May 26, 2026 |
| Certification date | May 26, 2026 |
| Mailing address | 10463 Ponderosa Pine Ave, Waldorf, MD 20603-5794 |
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