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

Legacy Behavioral Solutions

Organization Medical Physician Assistant · NPI 1730077082

Legacy Behavioral Solutions is a Medical Physician Assistant in Troy, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Phone: (810) 513-9611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1730077082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jasmine Cofield — Medical Director · (810) 513-9611
NPI enumeratedJune 25, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address100 W Big Beaver Rd Ste 200, Troy, MI 48084-5283

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