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

Legacy Therapeutic Interventions, PLLC

Organization Clinical Social Worker · NPI 1689392177

Legacy Therapeutic Interventions, PLLC is a Clinical Social Worker in Fayetteville, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
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

5403 Nessee St
Fayetteville, NC 28314-4600
Phone: (678) 674-9965
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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

Record details

NPI number1689392177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yazlyn Jacobs — Ceo · (678) 674-9965
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address5403 Nessee St, Fayetteville, NC 28314-4600

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