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

Legacy's Impact Intervention LLC

Organization Professional Counselor · NPI 1336770627

Legacy's Impact Intervention LLC is a Professional Counselor in Bartlesville, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

3606 Idaho Ave
Bartlesville, OK 74006-2420
Phone: (918) 766-6998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Professional Counselor Taxonomy 101YP2500X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1336770627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shonta Crowder — Director/Therapist · (918) 766-6998
Other names Legacy'S Impact Intervention L.L.C
NPI enumeratedJanuary 27, 2020
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020
Mailing address3606 Idaho Ave, Bartlesville, OK 74006-2420

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