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

Legacy Psychological Services, PLLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1205505674

Legacy Psychological Services, PLLC is an Adolescent and Children Mental Health Clinic/Center in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1919 Oakwell Farms Pkwy Ste 138
San Antonio, TX 78218-1725
Phone: (210) 819-5941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1205505674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lara Conrad-Shearburn — Licensed Psychologist · (210) 819-5941
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing address1919 Oakwell Farms Pkwy Ste 138, San Antonio, TX 78218-1725

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