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

Legacy House Community Service

Organization Community/Behavioral Health Agency · NPI 1730890047

Legacy House Community Service is a Community/Behavioral Health Agency in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

11747 N 19th Ave Ste 104
Phoenix, AZ 85029-3590
Phone: (901) 215-6101
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1730890047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Francine Robertson — Owner · (901) 215-6101
NPI enumeratedDecember 7, 2022
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address11747 N 19th Ave Ste 104, Phoenix, AZ 85029-3590

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