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

Legacy Comprehensive Health Management LLC

Organization Community/Behavioral Health Agency · NPI 1083591911

Legacy Comprehensive Health Management LLC is a Community/Behavioral Health Agency in Emporia, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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

412 Ingleside Ave
Emporia, VA 23847-2320
Phone: (434) 532-2164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1083591911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Mason-Dickens — Owner · (252) 578-8334
NPI enumeratedAugust 20, 2025
Last updated in NPPESOctober 12, 2025
Certification dateOctober 12, 2025
Mailing address302 S Russell St, Gaston, NC 27832-9784

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